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NPI Code Detail

MEDICARE: GABRIELA MENESES OTR/L

MEDICARE: GABRIELA MENESES OTR/L
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist20017FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1316506645
Entity Type Code : Individual
Provider Name (Legal Business Name) : GABRIELA MENESES OTR/L
Provider Business Mailing Address
First Line : 695 YOUNGSTOWN PKWY APT 292
Second Line :
City : ALTAMONTE SPRINGS
State : FL
Zip : 32714-4531
Country : US
Telephone Number : 407-748-6392
Fax Number :
Provider Business Practice Location Address
First Line : 4680 LAKE UNDERHILL RD
Second Line :
City : ORLANDO
State : FL
Zip : 32807-1182
Country : US
Telephone Number : 407-852-3300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/11/2019
Last Update Date : 06/11/2019

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Directions to “ GABRIELA MENESES OTR/L” Practice Location

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