Individual
HEATHER BROOK GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOTR
Contact information
Practice address
4500 S LANCASTER RD, DALLAS, TX 75216-7167
(214) 857-1466
Mailing address
3010 STATE ST APT 219, DALLAS, TX 75204-3926
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
117513
TX
Other
Enumeration date
06/23/2017
Last updated
06/23/2017
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