Kelly Gonzalez

NPI #1376028498 in Dyer, Indiana

Provider Information

NPI Number: 1376028498
Entity Type: Individual
Name: Kelly Gonzalez
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Developmental Therapist
Enumeration Date: Sep 25, 2018
Last Updated: Sep 25, 2018

Practice Location

Address: 440 EDMOND DR
City: Dyer
State: Indiana
ZIP Code: 46311-1523
Phone: (121) 932-2141

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Developmental Therapist	222Q00000X	Primary

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