Individual
CONSTANCE GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1977 MAIN RD, LAUREL, NY 11948-1316
(631) 605-1325
Mailing address
1977 MAIN RD, LAUREL, NY 11948-1316
(631) 605-1325
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
030015
NY
Other
Enumeration date
04/29/2025
Last updated
04/29/2025
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