Individual
MRS. ROSA M. ROMAN GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
6164 WILLOUGHBY CIR, LAKE WORTH, FL 33463-9308
(732) 896-8373
Mailing address
6164 WILLOUGHBY CIR, LAKE WORTH, FL 33463-9308
(732) 896-8373
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT 13282
FL
Other
Enumeration date
08/20/2008
Last updated
08/20/2008
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