Gullett, Elisabeth

Gullett, Elisabeth is an sole proprietor health care provider with primary practice located at 9421 W Park Village Dr , Tampa FL 33626-5148. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist is her primary health care specialty. Gullett, Elisabeth can be contacted via phone (703) 935-9376.

Contact Information

Primary practice address
9421 W Park Village Dr Tampa FL 33626-5148
Phone: (703) 935-9376
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT17864 Florida
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X OT 17864 Florida

Profile Details

NPI number 1841749421
LBN Legal business name Gullett, Elisabeth
Credentials OTR/L
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 24th, 2016
Last updated Aug 24th, 2022 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1841749421 NPPES
Florida MEDICAID 018697200

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