Antrelise Gantt in Miami Gardens - Occupational Therapist

Antrelise Gantt - NPI 1508059189

Antrelise Gantt is a Occupational Therapist in Miami Gardens, Florida. Antrelise Gantt practices all healthcare services and medical treatments related to Occupational Therapist. The NPI Number for Antrelise Gantt is 1508059189. The last update date is 2007-08-27.

Antrelise Gantt's current location address is 1820 Nw 183rd St, Miami Gardens, Florida. You can contact this provider via phone number 3056268836 and fax number 3056268838. The mailing address for Antrelise Gantt is 1820 Nw 183rd St, Miami Gardens, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Antrelise Gantt
Address 1820 Nw 183rd St, Miami Gardens, Florida
Phone Number 3056268836
Fax Number 3056268838
Sole Proprietor Y
Credentials MS,OTR/L

NPI Number Detail

NPI Number 1508059189
Provider Enumeration Date 2007-08-27
Last Updated Date 2007-08-27

Provider Mailing Address Detail

Address 1820 Nw 183rd St
City Miami Gardens
State Florida (FL)
Post Code 330563838
Phone Number 3056268836
Fax Number 3056268838

Provider's Primary Taxonomy Detail

Speciality Occupational Therapist
Taxonomy 225X00000X
Licence No 9286
Definition:
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federat

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FAQs about Antrelise Gantt

What is the unique provider identifier assigned to Antrelise Gantt?

The Antrelise Gantt has been issued the NPI (National Provider Identifier) 1508059189 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete address where Antrelise Gantt is physically located?

The Antrelise Gantt is situated at the following address: 1820 Nw 183Rd St, Miami Gardens, FL 330563838.

What is Antrelise Gantt's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Antrelise Gantt is Occupational Therapist, and the taxonomy code that categorizes this field of expertise is 225X00000X.

On what date was the 1508059189 assigned to Antrelise Gantt?

The Antrelise Gantt was issued its 1508059189 on 2007-08-27, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Antrelise Gantt most recently updated or revised?

The information pertaining to Antrelise Gantt, including its address, specialty, and other relevant details, was last updated or revised on 2007-08-27.

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