Individual
MICHELE GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3001 E EVESHAM RD, VOORHEES, NJ 08043-9547
(856) 810-3647
Mailing address
830 KATER ST, PHILADELPHIA, PA 19147-2013
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00445300
NJ
Other
Enumeration date
09/29/2009
Last updated
09/29/2009
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