Individual
KIM GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
4121 MCCLARY DR, PLANO, TX 75093-6646
(972) 612-0374
Mailing address
4121 MCCLARY DR, PLANO, TX 75093-6646
(972) 612-0374
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
103994
TX
Other
Enumeration date
01/23/2008
Last updated
01/23/2008
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