Individual
MRS. LETICIA GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CTRS
Contact information
Practice address
14314 DUSKY THRUSH, SAN ANTONIO, TX 78233-5383
(210) 325-6495
Mailing address
15723 ASHLEY MNR, SAN ANTONIO, TX 78247-5800
(210) 325-6495
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
46621
TX
Other
Enumeration date
04/29/2010
Last updated
04/29/2010
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