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Richard Alan Gonzales, MS, OTR/L

Occupational Therapist in Sherman Oaks, CA. Individual provider (NPI-1).

NPI number1982134243
StatusActive
Last updated in NPPESJul 21, 2022

Details

NPI
1982134243
Entity type
Individual (NPI-1)
Name
Mr. Richard Alan Gonzales
Credential
MS, OTR/L
Sex
Male
Sole proprietor
Yes
Enumeration date
Jun 19, 2017
Last updated
Jul 21, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225X00000X Occupational TherapistOT4716CAYes

Practice location

13636 Ventura Blvd C/O Otol Rx
#420
Sherman Oaks, CA 91423-3700

Phone 818-763-9997 · Fax 818-763-9979

Mailing address

13636 Ventura Blvd C/O Otol Rx
#420
Sherman Oaks, CA 91423-3700

Phone 818-763-9997 · Fax 818-763-9979

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