Individual
ESMERALDA GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4162 WILDCAT DR, CORPUS CHRISTI, TX 78410-5100
(361) 241-2954
Mailing address
5313 CRESTWICK DR, CORPUS CHRISTI, TX 78413-3708
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
213311
TX
Other
Enumeration date
08/21/2018
Last updated
08/21/2018
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