Individual
DIANA GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L; RT, (R), (CT)
Contact information
Practice address
136 W HIGH ST, COALDALE, PA 18218-1420
(570) 778-4890
Mailing address
136 W HIGH ST, COALDALE, PA 18218-1420
(570) 778-4890
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC018020
PA
Other
Enumeration date
02/07/2023
Last updated
02/07/2023
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