Elyana Marissa Gonzalez
Occupational Therapist in Clifton, NJ. Individual provider (NPI-1).
NPI number1013676980
StatusActive
Last updated in NPPESFeb 9, 2024
Details
- NPI
- 1013676980
- Entity type
- Individual (NPI-1)
- Name
- Elyana Marissa Gonzalez
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 8, 2021
- Certification date
- Feb 9, 2024
- Last updated
- Feb 9, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | 026223 | NY | Yes |
| 225X00000X | Occupational Therapist | 46TR01119700 | NJ |
Practice location
1003 Main AveClifton, NJ 07011-2333
Phone 201-344-2499
Mailing address
125 Belmar TerWestfield, NJ 07090-2247
Phone 516-524-0817
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All 63 Occupational Therapist providers in Clifton · All 2,730 providers in Clifton
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