Individual
MARIA LOURDES GONZALEZ PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2315 STOCKTON BLVD, SACRAMENTO, CA 95817-2201
(916) 734-2011
Mailing address
1310 E STREET SACRAMENTO CA 95814, UNIT E, SACRAMENTO, CA 95814
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4770
CA
Other
Enumeration date
03/08/2019
Last updated
03/08/2019
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