Gonsalves, Khallilah

Gonsalves, Khallilah is an sole proprietor health care provider with primary practice located at 6641 W Wedgewood Ave , Davie FL 33331-2915. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, which is considered as her primary health care specialty. Gonsalves, Khallilah can be contacted via phone (954) 618-7333.

Contact Information

Primary practice address
6641 W Wedgewood Ave Davie FL 33331-2915
Phone: (954) 618-7333
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X 11778 Florida

Profile Details

NPI number 1003160672
LBN Legal business name Gonsalves, Khallilah
Credentials Certified Occupational Therapy Assistant (COTA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 5th, 2012
Last updated Nov 5th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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