Individual
DANIEL GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
14189 SW 9TH TER, MIAMI, FL 33184-3058
(786) 712-8312
Mailing address
14189 SW 9TH TER, MIAMI, FL 33184-3058
(786) 712-8312
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA11474
FL
Other
Enumeration date
03/04/2011
Last updated
03/04/2011
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