Individual
KIMBERLY MARIE GONZALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21400 72ND AVE W, EDMONDS, WA 98026-7702
(425) 608-2532
(425) 771-0116
Mailing address
21400 72ND AVE W, EDMONDS, WA 98026-7702
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OC60468639
WA
Other
Enumeration date
05/05/2014
Last updated
05/05/2014
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