Individual
JESSICA GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
5346 EAST HIGHWAY 83 UNIT 2 BUILDING A, RIO GRANDE CITY, TX 78582-7858
(956) 317-1282
(956) 317-1291
Mailing address
420 SIRIA ST, SULLIVAN CITY, TX 78595-2088
(956) 424-2634
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
211359
TX
Other
Enumeration date
08/09/2018
Last updated
08/09/2018
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