Individual
ERIN E GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
905 TOWER RD, BRISTOL, PA 19007-3116
(215) 785-3201
Mailing address
2030 LARDNER ST, PHILADELPHIA, PA 19149-3526
(267) 333-5143
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
400472
PA
Other
Enumeration date
04/15/2019
Last updated
04/15/2019
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