KHALLILAH GONSALVES

DAVIE, FL
NPI1003160672
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: FL  11778)
Enumeration Date2012-11-05
Last Update Date2012-11-05
Business Address
KHALLILAH GONSALVES COTA
6641 W WEDGEWOOD AVE
DAVIE, FL 33331-2915
Phone number: 954-618-7333
Mailing Address
KHALLILAH GONSALVES COTA
6641 W WEDGEWOOD AVE
DAVIE, FL 33331-2915
Phone number: 954-618-7333
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