Individual
NOEL GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR, MOT
Contact information
Practice address
2445 MISSOURI AVE, SUITE A, LAS CRUCES, NM 88001-5111
(575) 523-8080
Mailing address
2445 MISSOURI AVE, SUITE A, LAS CRUCES, NM 88001-5111
(575) 523-8080
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
115896
TX
Other
Enumeration date
02/07/2014
Last updated
06/16/2014
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