Individual
ANDERSON GOMEZ-HERRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
4100 SW 33RD AVE, OCALA, FL 34474-4466
(352) 854-8200
Mailing address
1 FIR TRAIL TRCE, OCALA, FL 34472-4296
(352) 216-9163
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA12049
FL
Other
Enumeration date
05/16/2017
Last updated
05/16/2017
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