Individual provider · Type 1 NPI

Jessica M. Gonzales, OTR

Specialist · Southlake, TX

NPI number 1962740837 Active

Practice location

2425 E Southlake Blvd
Southlake, TX 76092-6674

Call (817) 442-0222 Map

Fax (817) 442-0223

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X115203 (TX)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1962740837

Jessica M. Gonzales, OTR's National Provider Identifier is 1962740837, issued on Jan 28, 2013. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Southlake, TX. The record was last updated on May 30, 2013.