Individual
LORI GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
54 N PARK AVE, SHREWSBURY, NJ 07702-4413
(917) 406-0478
Mailing address
54 N PARK AVE, SHREWSBURY, NJ 07702-4413
(917) 406-0478
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00236900
NJ
Other
Enumeration date
01/10/2021
Last updated
01/10/2021
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