Individual
MR. GABRIEL ELIAS GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR, ATP
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
111029
TX
225XP0019X
Physical Rehabilitation Occupational Therapist
111029
TX
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
07/22/2010
Last updated
06/05/2011
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