Individual
JEANETTE GONZALEZ-DIENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
176 MESEROLE AVE APT 2, BROOKLYN, NY 11222-2457
(646) 434-9553
Mailing address
176 MESEROLE AVE APT 2, BROOKLYN, NY 11222-2457
(646) 434-9553
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
010050
NY
Other
Enumeration date
12/19/2020
Last updated
12/19/2020
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