Individual
ALYSSA GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
136 GREATEST GIFT WAY, JARRELL, TX 76537-2201
(512) 000-0000
Mailing address
136 GREATEST GIFT WAY, JARRELL, TX 76537-2201
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
124102
TX
Other
Enumeration date
01/04/2024
Last updated
01/09/2024
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