Individual
FIDES FAITH GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L, M.A.
Contact information
Practice address
1000 S FREMONT AVE UNIT 27, ALHAMBRA, CA 91803-8849
(213) 607-4400
Mailing address
1000 S FREMONT AVE UNIT 27, ALHAMBRA, CA 91803-8849
(213) 607-4400
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
14343
CA
Other
Enumeration date
08/24/2014
Last updated
08/24/2014
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