Gonzales, Selena Lea

Gonzales, Selena Lea is an sole proprietor health care provider with primary practice located at 2611 Jones Ave , Pueblo CO 81004-2650. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, which is considered as her primary health care specialty. Gonzales, Selena Lea can be contacted via phone (719) 564-1735.

Contact Information

Primary practice address
2611 Jones Ave Pueblo CO 81004-2650
Phone: (719) 564-1735
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X 1029143 Colorado

Profile Details

NPI number 1891128757
LBN Legal business name Gonzales, Selena Lea
Credentials Certified Occupational Therapy Assistant (COTA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 14th, 2013
Last updated Aug 14th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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