Individual
ALEXA SANAA GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1501 HILAND AVE, BURLEY, ID 83318-2688
(208) 670-6530
Mailing address
1711 OCCIDENTAL AVE, BURLEY, ID 83318-2222
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
8371366
ID
Other
Enumeration date
06/15/2026
Last updated
06/15/2026
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