Individual
JULIETTE GOVANLU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
1701 NW 107TH AVE, PEMBROKE PINES, FL 33026-2805
(786) 587-9844
Mailing address
824 N GOLF DR, HOLLYWOOD, FL 33021-6144
(305) 323-8864
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
14502
FL
Other
Enumeration date
06/02/2019
Last updated
06/02/2019
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