Individual
KELSEY SAGE GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1110 W WILL ROGERS BLVD, CLAREMORE, OK 74017-5421
(341) 434-3341
(918) 341-4343
Mailing address
1110 W WILL ROGERS BLVD, CLAREMORE, OK 74017-5421
(341) 434-3341
(918) 341-4343
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2466
OK
Other
Enumeration date
09/19/2022
Last updated
09/19/2022
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