Individual
MADELEINE ELIZABETH GENSOLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2639 W SR 434, LONGWOOD, FL 32779-4878
(321) 972-8326
Mailing address
375 PALM SPRINGS DR APT 328, ALTAMONTE SPRINGS, FL 32701-3519
(954) 400-9069
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OAT19203
FL
Other
Enumeration date
10/27/2022
Last updated
10/27/2022
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