Individual
SARA BETH GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
7001 N 10TH ST STE 303, MCALLEN, TX 78504-3347
(956) 994-9650
Mailing address
7001 N 10TH ST STE 303, MCALLEN, TX 78504-3347
(956) 994-9650
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
215894
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
215894
STATE LICENSE
TX
Enumeration date
08/16/2019
Last updated
08/16/2019
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