Individual
NICOLE GONZALEZ DELGADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1830 S ALMA SCHOOL RD STE 122, MESA, AZ 85210-3087
(480) 855-0474
Mailing address
10540 W CHICKASAW ST, TOLLESON, AZ 85353-1135
(602) 882-9071
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA-047168
AZ
Other
Enumeration date
03/17/2023
Last updated
03/17/2023
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