Individual
GABRIELA PONCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
4500 W SHANNON LAKES DR STE 3, TALLAHASSEE, FL 32309-2240
(850) 942-2000
(850) 942-2003
Mailing address
4500 W SHANNON LAKES DR STE 3, TALLAHASSEE, FL 32309-2240
(850) 942-2000
(850) 942-2003
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT18929
FL
Other
Enumeration date
04/02/2018
Last updated
11/09/2022
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