Individual
GAIL BRIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
4020 HANGING MOSS LOOP, SPRING HILL, FL 34609-6713
(352) 398-1024
Mailing address
4020 HANGING MOSS LOOP, SPRING HILL, FL 34609-6713
(352) 398-1024
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA10098
FL
Other
Enumeration date
10/16/2008
Last updated
10/16/2008
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