Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Khallilah Gonsalves, COTA

Individual provider Occupational Therapy Assistant · NPI 1003160672

Khallilah Gonsalves, COTA is an Occupational Therapy Assistant in Davie, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2012
What do these letters mean?
COTA — Certified Occupational Therapy Assistant
Delivers treatment under an occupational therapist's direction.

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Practice location Address checks out

6641 W Wedgewood Ave
Davie, FL 33331-2915
Phone: (954) 618-7333
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 11778 (FL)

Record details

NPI number1003160672
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA
Sole proprietorYes
NPI enumeratedNovember 5, 2012
Last updated in NPPESNovember 5, 2012

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