Individual
JENIFFER N GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
123 SUMMER ST STE 320S, WORCESTER, MA 01608-1216
(508) 964-5580
(508) 368-3143
Mailing address
123 SUMMER ST STE 320S, WORCESTER, MA 01608-1216
(508) 964-5580
(508) 368-3143
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
14428
MA
Other
Enumeration date
05/18/2022
Last updated
05/18/2022
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