Individual
MRS. CHLOE JEANNINE GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2019 DORNOCH RD, TEGA CAY, SC 29708-6003
(803) 606-6922
Mailing address
2019 DORNOCH RD, TEGA CAY, SC 29708-6003
(803) 606-6922
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
13654
NC
225X00000X
Occupational Therapist
Primary
6344
SC
Other
Enumeration date
10/20/2015
Last updated
10/04/2023
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