Individual
KRISTIAN GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
742 HILLSIDE AVE, LAKE WALES, FL 33853-3421
(863) 258-2095
Mailing address
742 HILLSIDE AVE, LAKE WALES, FL 33853-3421
(863) 258-2095
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
19399
FL
Other
Enumeration date
01/06/2025
Last updated
01/06/2025
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