Individual
AISHA YADEL GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
104 SOUTH WASHINGTON STREET, GEARY REHAB & FITNESS, JUNCTION CITY, KS 66441
(785) 238-3747
Mailing address
113 GREEN ACRES ST, WHITE CITY, KS 66872-9208
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
0119004183
VA
225X00000X
Occupational Therapist
Primary
17-02356
KS
225X00000X
Occupational Therapist
OT 10378
FL
Other
Enumeration date
09/20/2006
Last updated
03/08/2016
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