Individual
ILAINIS PELAEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
4000 SW 20TH AVE, GAINESVILLE, FL 32607-4417
(352) 377-1981
Mailing address
333 SISCO DIRT RD, SATSUMA, FL 32189-3119
(954) 818-5790
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
10639
FL
Other
Enumeration date
03/31/2008
Last updated
03/31/2008
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