Individual
JENNIFER JOY GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR
Contact information
Practice address
104 DECK RD, GEORGETOWN, TX 78628-9311
(512) 917-6988
(512) 869-8179
Mailing address
104 DECK RD, GEORGETOWN, TX 78628-9311
(512) 917-6988
(512) 869-8179
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
109282
TX
Other
Enumeration date
01/17/2007
Last updated
07/08/2007
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