Individual
CLARISSA MARIE GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2410 E RIVERSIDE DR STE B1, AUSTIN, TX 78741-3052
(512) 394-0652
Mailing address
305 NE LOOP; BUSINESS TOWER 1, SUITE 200, HURST, TX 76053
(817) 292-8787
(817) 789-6849
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
217032
TX
Other
Enumeration date
10/01/2021
Last updated
10/01/2021
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