Individual
ANA LAURA SUAREZ GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
225 S FULTON ST STE D, ITHACA, NY 14850-3344
(607) 437-0141
Mailing address
211 MAPLE AVE APT 213A, ITHACA, NY 14850-6911
(787) 362-9933
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
024057
NY
Other
Enumeration date
10/02/2019
Last updated
10/02/2019
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