Individual
KATHRYN GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
5440 EVERHART RD STE 1, CORPUS CHRISTI, TX 78411-4838
(361) 992-1435
Mailing address
5440 EVERHART RD STE 1, CORPUS CHRISTI, TX 78411-4838
(361) 992-1435
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
117699
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
117699
EXECUTIVE COUNCIL OF PHYSICAL AND OCCUPATIONAL THERAPY EXAMINERS - TEXAS
TX
Enumeration date
05/09/2016
Last updated
05/09/2016
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