Individual
MARTIN GONZALEZ JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
15291 NW 60TH AVE STE 101, MIAMI LAKES, FL 33014-2459
(305) 297-3888
Mailing address
14050 SW 53RD ST, MIRAMAR, FL 33027-5995
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA12115
FL
Other
Enumeration date
07/08/2020
Last updated
07/08/2020
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