Individual
MARIA YESENIA GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
763 MARLANDWOOD RD, TEMPLE, TX 76502-3573
(254) 771-5950
Mailing address
324 TRAMMEL RD, EDDY, TX 76524-3937
(254) 624-7644
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
216574
TX
Other
Enumeration date
08/13/2021
Last updated
08/13/2021
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