Individual
HENRY GONZALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
15600 SAN PEDRO AVE STE 307, SAN ANTONIO, TX 78232-3739
(210) 494-2343
Mailing address
15600 SAN PEDRO AVE STE 307, SAN ANTONIO, TX 78232-3739
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
207441
TX
Other
Enumeration date
03/12/2008
Last updated
03/12/2008
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