Individual
MARCIA GONZALEZ PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
326 COUNTRY CLUB DR, NEW ALBANY, IN 47150-4618
(181) 294-8131
Mailing address
118 MEDICAL DR, CARMEL, IN 46032-2923
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32003283A
IN
Other
Enumeration date
02/23/2018
Last updated
02/23/2018
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