Joe Robert Gonzales JR., OTD

NPI #1083167746 in Fairbanks, Alaska

Provider Information

NPI Number: 1083167746
Entity Type: Individual
Name: Joe Robert Gonzales JR., OTD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OTD
Enumeration Date: Jul 29, 2016
Last Updated: Jul 29, 2016

Practice Location

Address: 398 HAMILTON AVE
City: Fairbanks
State: Alaska
ZIP Code: 99701-3537
Phone: (907) 374-4911

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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