Individual
MISS JENNIFER MARIE GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.T. R/L
Contact information
Practice address
1611 NW 12TH AVE, MIAMI, FL 33136
(305) 585-7224
Mailing address
2781 SW 34TH COURT, MIAMI, FL 33133
(305) 467-7323
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 10472
FL
Other
Enumeration date
08/24/2006
Last updated
07/08/2007
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