Individual
GIOVANNA MUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
151 E MINNEHAHA AVE, CLERMONT, FL 34711-3424
(352) 394-2188
Mailing address
3674 MAIDENCAIN ST, CLERMONT, FL 34714-5032
(706) 877-0535
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
0TA001953
GA
224Z00000X
Occupational Therapy Assistant
Primary
OTA17904
FL
Other
Enumeration date
08/13/2015
Last updated
04/27/2021
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