Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225CX0006X | Orientation and Mobility Training Provider |
NPI | 1487039376 |
---|---|
Provider Name | Gabrielle Michel |
First Address | Ormond Beach, FL 32174-6186 |
Second Address | Ormond Beach, FL 32174-6186 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/07/2015 |
Last Update Date | 09/01/2017 |