Individual
KRISTY LEE GASCOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2828 CORAL WAY, SUITE 205, CORAL GABLES, FL 33145-3214
(304) 443-2022
Mailing address
5025 SW 100TH CT, MIAMI, FL 33165-6342
(786) 202-4733
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
307217
FL
Other
Enumeration date
07/09/2014
Last updated
07/09/2014
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