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Stephanie Gomez

Rehabilitation Practitioner in Pico Rivera, CA. Individual provider (NPI-1).

NPI number1982185385
StatusActive
Last updated in NPPESAug 23, 2018

Details

NPI
1982185385
Entity type
Individual (NPI-1)
Name
Stephanie Gomez
Sex
Female
Sole proprietor
No
Enumeration date
Aug 23, 2018
Last updated
Aug 23, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225400000X Rehabilitation Practitioner––Yes

Practice location

9101 Whittier Blvd
Pico Rivera, CA 90660-2405

Phone 562-801-4626

Mailing address

9101 Whittier Blvd
Pico Rivera, CA 90660-2405

Phone 562-801-4626

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