Individual
KARLA GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
6028 SURETY DR, EL PASO, TX 79905-2018
(915) 771-8523
Mailing address
PO BOX 477, SAN ELIZARIO, TX 79849-0477
(915) 227-5793
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
211793
TX
Other
Enumeration date
09/21/2012
Last updated
09/21/2012
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