Individual
CANDIDA GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2800 N MIDLAND DR, MIDLAND, TX 79707-5536
(432) 697-3108
Mailing address
1419 CERRILLOS AVE, MIDLAND, TX 79705-2255
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
208697
TX
Other
Enumeration date
10/29/2019
Last updated
10/29/2019
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