| Amanda Nicole Gonzalez, | |
|
2240 E Plaza Blvd Ste B-e, National City, CA 91950-5164 | |
| (619) 474-5916 | |
| Not Available |
| Full Name | Amanda Nicole Gonzalez |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 2240 E Plaza Blvd Ste B-e, National City, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902667900 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 25893 (California) | Primary |
| Provider Name | Mdrs Spine & Sport Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1952394603 PECOS PAC ID: 3274446687 Enrollment ID: O20031111000725 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Nicole Gonzalez, 4560 Mission Gorge Pl Apt 565, San Diego, CA 92120-4191 Ph: () - | Amanda Nicole Gonzalez, 2240 E Plaza Blvd Ste B-e, National City, CA 91950-5164 Ph: (619) 474-5916 |
Isabella Maria Green, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2423 Hoover Ave, National City, CA 91950 Phone: 619-795-9925 | |
Madelyn Cabrera, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1510 Sweetwater Rd Ste B, National City, CA 91950 Phone: 619-552-2870 | |
Nicole Malia Cua, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 2240 E Plaza Blvd Ste B-e, National City, CA 91950 Phone: 619-474-5916 | |
Jaclyn Rose, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 220 E 24th St, National City, CA 91950 Phone: 619-474-6741 | |
Edelson Flores, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 220 E 24th St, National City, CA 91950 Phone: 619-474-6741 | |
Suzenne Bartolome, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 2700 E 4th St, National City, CA 91950 Phone: 602-393-8232 | |
Caroline Jovenal, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 2441 E Plaza Blvd, National City, CA 91950 Phone: 619-434-2063 Fax: 619-336-0201 |