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Individual

MRS. AMEILYN E GONZALEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTL

Contact information

Practice address
A17 URB EL MAESTRO, CAMUY, PR 00627-2708
(787) 356-3177
Mailing address
PO BOX 140294, ARECIBO, PR 00614-0294
(787) 356-3177

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
935
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
935
OTL
PR
Enumeration date
02/01/2012
Last updated
02/01/2012
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