Individual
JULIA GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
7150 KALAMAZOO AVE SE, CALEDONIA, MI 49316-9167
(616) 333-1800
Mailing address
5060 CASCADE RD SE, GRAND RAPIDS, MI 49546-3808
(616) 333-1800
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201012713
MI
Other
Enumeration date
01/03/2022
Last updated
01/03/2022
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