Individual
MAYRA F GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
612 72ND ST APT 2, NORTH BERGEN, NJ 07047-5471
(201) 491-2160
Mailing address
612 72ND ST APT 2, NORTH BERGEN, NJ 07047-5471
(201) 491-2160
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
46TA09162000
NJ
Other
Enumeration date
10/20/2020
Last updated
10/20/2020
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