Individual
GRETTY LEYVA ACOSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2629 DEL PRADO BLVD S, CAPE CORAL, FL 33904-5769
(239) 574-4434
(239) 574-6968
Mailing address
2629 DEL PRADO BLVD S, CAPE CORAL, FL 33904-5769
(239) 574-4434
(239) 574-6968
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA19214
FL
Other
Enumeration date
12/02/2022
Last updated
12/02/2022
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