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Individual

IRIA MARISOL GILLESPIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTA

Contact information

Practice address
6400 TROUBLE CREEK RD, NEW PORT RICHEY, FL 34653-5248
(727) 847-2980
Mailing address
5180 KARLSBURG PL, PALM HARBOR, FL 34685-3618
(727) 946-0235

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA5841
FL

Other

Enumeration date
06/21/2022
Last updated
06/21/2022
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