Individual
CORINNE GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6351 N FORT APACHE RD, LAS VEGAS, NV 89149-2300
(702) 515-3000
Mailing address
4560 SE INTERNATIONAL WAY STE 100, MILWAUKIE, OR 97222-4628
(702) 417-2717
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA-2159
NV
Other
Enumeration date
11/19/2018
Last updated
11/19/2018
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