Individual
IVETTE R GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3305 S ORANGE AVE, ORLANDO, FL 32806-6125
(407) 852-3300
Mailing address
3305 S ORANGE AVE, ORLANDO, FL 32806-6125
(407) 852-3300
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT11560
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
892638700
—
FL
Enumeration date
01/03/2008
Last updated
01/25/2011
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