Individual
KAZAUNDRA GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
400 E MAIN ST, ALICE, TX 78332-4969
(361) 396-4029
Mailing address
315 W 6TH ST, ALICE, TX 78332-4450
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
218077
TX
Other
Enumeration date
10/05/2023
Last updated
10/05/2023
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