Individual
JOHANIS GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATO
Contact information
Practice address
HC 2 BOX 4575, VILLALBA, PR 00766-9715
(787) 980-7223
Mailing address
HC 2 BOX 4575, VILLALBA, PR 00766-9715
(787) 980-7223
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
811
PR
Other
Enumeration date
09/08/2016
Last updated
09/08/2016
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