Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 21161 | FL |
NPI | 1003427584 |
---|---|
Provider Name | Melissa Guigliano |
First Address | Tampa, FL 33606-4310 |
Second Address | Sun City Center, FL 33573 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/08/2020 |
Last Update Date | 11/08/2020 |