Individual
NANCY GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5702 FRIENDSHIP RD, TOLAR, TX 76476-5390
(214) 734-0094
Mailing address
1030 E HWY 377 STE 110-177, GRANBURY, TX 76048-1456
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
211844
TX
Other
Enumeration date
07/08/2019
Last updated
07/08/2019
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