Individual
MISS CALLIOPE LIAMIS GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2423 S BELL BLVD, CEDAR PARK, TX 78613-4753
(512) 827-3601
Mailing address
2423 S BELL BLVD, CEDAR PARK, TX 78613-4753
(512) 827-3601
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
115329
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
115329
OCCUPATIONAL THERAPY LICENSE
TX
Enumeration date
03/11/2013
Last updated
05/30/2023
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