Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225X00000X | Occupational Therapist | OT 2089 | FL |
N | 2251E1200X | Ergonomics | OT 2089 | FL |
N | 225XE1200X | Ergonomics | OT 2089 | FL |
N | 225XN1300X | Occupational Therapist - Neurorehabilitation | OT 2089 | FL |
NPI | 1053411314 |
---|---|
Provider Name | Mrs. Yasmin Gonzalez |
First Address | Tampa, FL 33612-4745 |
Second Address | Tampa, FL 33612-4745 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/09/2006 |
Last Update Date | 09/07/2007 |