Individual
CHANEL JANNIS GAUZENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
5651 SW 82ND AVENUE RD, MIAMI, FL 33143-1617
(305) 275-5900
Mailing address
600 CURTISS PKWY, MIAMI SPRINGS, FL 33166-5250
(786) 616-5282
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
19724
FL
Other
Enumeration date
12/19/2023
Last updated
12/19/2023
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