Individual
ROSEMARY GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
211 CEDAR DR, PORTLAND, TX 78374-2900
(361) 643-1888
Mailing address
3818 BROCKHAMPTON CT, CORPUS CHRISTI, TX 78414-5807
(361) 960-3313
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
211347
TX
Other
Enumeration date
08/27/2018
Last updated
08/27/2018
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