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Individual

JENNIFER GONZALEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
8491 NW 17TH ST, DORAL, FL 33126-1025
(305) 305-9665
Mailing address
4237 SW 164TH PATH, MIAMI, FL 33185-5290
(786) 487-3907

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA14765
FL

Other

Enumeration date
11/19/2015
Last updated
11/19/2015
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