Individual
LIANA GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
115 E TEXAS BLVD, DALHART, TX 79022-4319
(806) 244-0015
Mailing address
115 E TEXAS BLVD, DALHART, TX 79022-4319
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
213396
TX
Other
Enumeration date
09/16/2021
Last updated
09/16/2021
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