Individual
SOLEDAD GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
18 W WASHINGTON AVE, LOVINGTON, NM 88260-4023
(575) 739-2705
Mailing address
1211 W AVENUE H, LOVINGTON, NM 88260-5009
(575) 659-8494
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA3665
NM
Other
Enumeration date
02/22/2022
Last updated
02/22/2022
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