Individual
ELAINE GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
5580 W 16TH AVE STE 201, HIALEAH, FL 33012-2189
(305) 456-2646
Mailing address
5580 W 16TH AVE STE 201, HIALEAH, FL 33012-2189
(305) 456-2646
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
03/21/2018
Last updated
03/21/2018
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