Individual
MARISA GOPAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
104 W D. L. INGRAM AVENUE, BLDG. 1408 CANNON AFB, CANNON AFB, NM 88101
(575) 784-2778
Mailing address
4900 SW 46TH CT APT 1001, OCALA, FL 34474-6271
(352) 433-1918
(352) 433-0950
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT30177
FL
Other
Enumeration date
05/25/2015
Last updated
12/18/2025
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