Individual
MS. ELIZABETH GORMLEY GOMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS OTR
Contact information
Practice address
4922 RINCON AVE, SANTA ROSA, CA 95409-2520
(707) 292-4693
Mailing address
4922 RINCON AVE, SANTA ROSA, CA 95409-2520
(707) 292-4693
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3009
CA
Other
Enumeration date
05/16/2007
Last updated
07/14/2023
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