Individual
KATIE GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
28991 OLD TOWN FRONT ST STE 101, TEMECULA, CA 92590-2858
(951) 556-8157
Mailing address
5086 GOLD DR, OCEANSIDE, CA 92057-3722
(760) 936-2451
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
6399
CA
Other
Enumeration date
06/30/2023
Last updated
06/30/2023
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