Individual
CAROLINA GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
3823 E STATE ROAD 64, BRADENTON, FL 34208-9041
(941) 745-5111
Mailing address
3823 E STATE ROAD 64, BRADENTON, FL 34208-9041
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT18934
FL
Other
Enumeration date
04/03/2018
Last updated
04/04/2018
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