Individual
LAURA GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
870 CONREID DR NE, PORT CHARLOTTE, FL 33952-9715
(786) 280-9104
(786) 401-6211
Mailing address
870 CONREID DR NE, PORT CHARLOTTE, FL 33952-9715
(786) 280-9104
(786) 401-6211
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT15622
FL
Other
Enumeration date
05/16/2013
Last updated
04/08/2015
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