Individual
MRS. JUANA GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
45 PARK AVE, YONKERS, NY 10703-3401
(914) 376-4300
Mailing address
12 JACOBS RD, THIELLS, NY 10984-1622
(845) 826-1587
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0052001
NY
Other
Enumeration date
09/07/2011
Last updated
09/07/2011
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