Individual
MRS. MAUREEN GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
11960 WESTLINE INDUSTRIAL DR., SUITE 201, ST LOUIS, MO 63146
(314) 819-0480
Mailing address
35 HAMPTON SPRINGS LANE, O FALLON, MO 63368
(636) 734-1922
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2003030519
MO
Other
Enumeration date
04/02/2015
Last updated
04/02/2015
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