Individual
ELIZABETH GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20 AUSTIN AVE, GREENVILLE, RI 02828-1449
(401) 949-3880
Mailing address
87 RHODE ISLAND LINE RD, PUTNAM, CT 06260-2612
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
OT01621
RI
Other
Enumeration date
11/29/2017
Last updated
11/29/2017
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