Individual
MR. RUDOLPHO GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
15821 N 165TH LN, SURPRISE, AZ 85388-1144
(602) 510-8136
Mailing address
15821 N 165TH LN, SURPRISE, AZ 85388-1144
(602) 510-8136
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
04/23/2012
Last updated
04/23/2012
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