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Bianca Gregory, COTA/L

Occupational Therapy Assistant in Fernandina Beach, FL. Individual provider (NPI-1).

NPI number1508686262
StatusActive
Last updated in NPPESOct 16, 2024

Details

NPI
1508686262
Entity type
Individual (NPI-1)
Name
Bianca Gregory
Credential
COTA/L
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 16, 2024
Certification date
Oct 16, 2024
Last updated
Oct 16, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
224Z00000X Occupational Therapy AssistantOTA18645FLYes

Practice location

22391 Flora Parke Xing Unit A
Fernandina Beach, FL 32034-8005

Phone 678-761-2863 · Fax 855-565-1769

Mailing address

22391 Flora Parke Xing Unit A
Fernandina Beach, FL 32034-8005

Phone 678-761-2863 · Fax 855-565-1769

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