Individual
TRIANA GORDILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
3198 CLEVELAND ST, HOLLYWOOD, FL 33021-5020
(305) 684-4668
Mailing address
3198 CLEVELAND ST, HOLLYWOOD, FL 33021-5020
(305) 684-4668
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
18722
FL
Other
Enumeration date
02/16/2022
Last updated
02/16/2022
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