Khallilah Gonsalves
Occupational Therapy Assistant
6641 W Wedgewood Ave
Davie
, Florida 33331-2915
Khallilah Gonsalves
Occupational Therapy Assistant
6641 W Wedgewood Ave
Davie
, Florida 33331-2915
(954) 618-7333
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About
Features
Specialties
- Occupational Therapy Assistant
Languages spoken
- English
Location
First Address
- Khallilah Gonsalves
- 6641 W Wedgewood Ave
- Davie, FL
- Zip : 33331-2915
- Phone : (954) 618-7333
Second Address
- Khallilah Gonsalves
- 6641 W Wedgewood Ave
- Davie, FL
- Zip : 33331-2915
- Phone : (954) 618-7333
Reviews
FAQs
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Is Khallilah Gonsalves a sole practitioner?
Is Khallilah Gonsalves accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 11778 | FL |
National Provider Identifier
| NPI | 1003160672 |
|---|---|
| Provider Name | Khallilah Gonsalves |
| First Address | Davie, FL 33331-2915 |
| Second Address | Davie, FL 33331-2915 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/11/2012 |
| Last Update Date | 05/11/2012 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.