Individual
CHELSEA GOMORI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
803 E WALNUT AVE, LOMPOC, CA 93436-7027
(805) 735-3714
Mailing address
15506 DUPAGE BLVD, TAYLOR, MI 48180-6021
(313) 702-8195
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
16794
CA
225X00000X
Occupational Therapist
Primary
5201009440
MI
Other
Enumeration date
04/10/2018
Last updated
04/10/2018
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