Individual
VANESSA GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2040 BRONXDALE AVE, APT 4D, BRONX, NY 10462-3361
(917) 564-1790
Mailing address
2040 BRONXDALE AVE, APT 4D, BRONX, NY 10462-3361
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
008955
NY
Other
Enumeration date
11/01/2016
Last updated
11/01/2016
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