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Contact Information

MARIE OLIVAS GOMEZ, OTR/L
427 BURNS AVE
LAKE WALES, FL33853
 Phone: 863-679-3338
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for MARIE OLIVAS GOMEZ · (Female)

NPI # 1629404785
Status Active
Credentials OTR/L (Occupational Therapist, Registered, Licensed)
Entity Individual
Enumeration date 09/20/2013
Last updated 01/10/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # OT18827
  • FL Medicaid 023097200
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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