Individual
RHONDA GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
479 NW PRIMA VISTA BLVD, PORT ST LUCIE, FL 34983-8731
(772) 408-4848
(772) 408-0978
Mailing address
479 NW PRIMA VISTA BLVD, PORT ST LUCIE, FL 34983-8731
(772) 408-4848
(772) 408-0978
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA11180
FL
Other
Enumeration date
08/21/2011
Last updated
08/21/2011
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