MR. Antonio Gonzales Jacquez, COTAL
NPI #1659400828 in Bayard, New Mexico
Provider Information
- NPI Number
- 1659400828
- Entity Type
- Individual
- Name
- MR. Antonio Gonzales Jacquez, COTAL
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Occupational Therapy Assistant
- Credential
- COTAL
- Enumeration Date
- Mar 5, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 900 CENTRAL
- City
- Bayard
- State
- New Mexico
- ZIP Code
- 88023
- Phone
- (505) 537-4000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapy Assistant |
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