Individual
CHRISTY LEAH GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LOTR
Contact information
Practice address
113 LONE OAK ST, BENTON, LA 71006-3928
(318) 355-7902
(318) 355-7902
Mailing address
113 LONE OAK ST, BENTON, LA 71006-3928
(318) 355-7902
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTT200002
LA
Other
Enumeration date
07/18/2006
Last updated
05/28/2008
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