Individual
STEPHANIE C GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
822 MONTGOMERY AVE STE 306, NARBERTH, PA 19072-1948
(832) 860-3591
Mailing address
271 S 15TH ST APT 2004, PHILADELPHIA, PA 19102-5019
(832) 860-3591
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OC016005
PA
Other
Enumeration date
01/08/2019
Last updated
01/08/2019
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