Individual
JILL F GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
11080 W OLYMPIC BLVD, LOS ANGELES, CA 90064-1937
(310) 231-0140
Mailing address
11080 W OLYMPIC BLVD, LOS ANGELES, CA 90064-1937
(310) 231-0140
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT 7588
CA
225XM0800X
Mental Health Occupational Therapist
Primary
7588
CA
Other
Enumeration date
03/22/2007
Last updated
10/14/2022
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