Individual
ANA DORIS GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
14711 84TH DR, BRIARWOOD, NY 11435-2233
(718) 262-8737
(718) 262-8737
Mailing address
14711 84TH DR, BRIARWOOD, NY 11435-2233
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
004585-1
NY
Other
Enumeration date
06/25/2010
Last updated
06/25/2010
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