Marissa Gonzalez

NPI #1811743578 in Montclair, California

Provider Information

NPI Number: 1811743578
Entity Type: Individual
Name: Marissa Gonzalez
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Enumeration Date: Apr 24, 2024
Last Updated: Apr 24, 2024

Practice Location

Address: 4959 PALO VERDE ST STE 109C
City: Montclair
State: California
ZIP Code: 91763-2358
Phone: (909) 971-3092

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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