Individual
IVONNE GONZALEZ HERMOSILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
324 B ST, SHELBYVILLE, KY 40065-9537
(502) 321-9035
Mailing address
324 B ST, SHELBYVILLE, KY 40065-9537
(502) 321-9035
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTH-010080
AZ
Other
Enumeration date
08/21/2025
Last updated
08/21/2025
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