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Individual

ALEXANDRIA M GOMEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
10900 LEGACY GATEWAY CIR UNIT 426, FORT MYERS, FL 33913-2654
(786) 763-6690
Mailing address
10900 LEGACY GATEWAY CIR UNIT 426, FORT MYERS, FL 33913-2654
(786) 763-6690

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA18326
FL

Other

Enumeration date
05/25/2021
Last updated
05/25/2021
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