Individual
MS. GELISSA GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
7760 NW 45TH ST, LAUDERHILL, FL 33351-5708
(786) 237-8535
Mailing address
7760 NW 45TH ST, LAUDERHILL, FL 33351-5708
(786) 237-8535
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
OTA11167
FL
225X00000X
Occupational Therapist
Primary
OT17969
FL
Other
Enumeration date
09/11/2013
Last updated
08/05/2016
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