Individual
MRS. NANCY GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
310 E WARDELL, PEMBROKE, NC 28372
(910) 521-1273
Mailing address
6800 GATEWAY BLVD E STE 4A, EL PASO, TX 79915-1006
(915) 779-7827
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
8255
NC
Other
Enumeration date
10/23/2014
Last updated
08/16/2018
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