Individual
LAURA GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA L
Contact information
Practice address
301 PERKINS DR STE B, LAS CRUCES, NM 88005-3248
(505) 523-7243
Mailing address
4107 DONA ANA RD APT H, LAS CRUCES, NM 88007-7391
(505) 649-7699
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1324
NM
Other
Enumeration date
04/20/2007
Last updated
07/08/2007
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