Individual
YESENIA GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1701 TOURNAMENT TRAIL DR, LAREDO, TX 78041-6564
(956) 727-3422
Mailing address
7614 LAGUNA DEL MAR CT APT 427, LAREDO, TX 78041-3476
(956) 635-1483
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
212573
TX
Other
Enumeration date
08/10/2018
Last updated
08/10/2018
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