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Individual

JOSE ANTONIO GOMEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OTR/L

Contact information

Practice address
2505 W SHAW AVE BLDG A, FRESNO, CA 93711-3334
(559) 228-9100
Mailing address
309 N GRANADA DR, MADERA, CA 93637-4120
(831) 254-1174

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
13326
CA

Other

Enumeration date
04/30/2015
Last updated
01/11/2016
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