Martha Patricia Gomez
Rehabilitation Practitioner in Covina, CA. Individual provider (NPI-1).
NPI number1851669964
StatusActive
Last updated in NPPESJan 3, 2012
Details
- NPI
- 1851669964
- Entity type
- Individual (NPI-1)
- Name
- Ms. Martha Patricia Gomez
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 3, 2011
- Last updated
- Jan 3, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225400000X | Rehabilitation Practitioner | – | – | Yes |
| 171M00000X | Case Manager/Care Coordinator | – | – |
Practice location
1126 N Grand AveCovina, CA 91724-1551
Phone 626-967-1667
Mailing address
993 E 4th StPomona, CA 91766-2124
Phone 626-999-6838
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All 140 Rehabilitation Practitioner providers in Covina · All 4,535 providers in Covina
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