Individual
JEFFERSON RABO GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
26 RICE MILL RD, PORT WENTWORTH, GA 31407-6022
(732) 318-1930
Mailing address
4 LA VIDA CT N, SAVANNAH, GA 31419
(732) 318-1930
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT004929
—
Other
Enumeration date
09/08/2011
Last updated
09/08/2011
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