Individual
NELITZA GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
621 DEXTER ST, CENTRAL FALLS, RI 02863-2742
(401) 721-9200
Mailing address
153 SUMMER ST, PROVIDENCE, RI 02903-4011
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA00892
RI
Other
Enumeration date
07/07/2017
Last updated
07/07/2017
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