| Mrs Delia Iris Gonzalez, OTR/L | |
|
211 N Ridgewood Ave Ste 300, Daytona Beach, FL 32114-3294 | |
| (386) 235-6080 | |
| Not Available |
| Full Name | Mrs Delia Iris Gonzalez |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 211 N Ridgewood Ave Ste 300, Daytona Beach, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144468885 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225XP0200X | Occupational Therapist - Pediatrics | OT10184 (Florida) | Secondary |
| 225X00000X | Occupational Therapist | OT10184 (Florida) | Primary |
| Provider Name | Wheelchair Clinic Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1265904064 PECOS PAC ID: 0941613590 Enrollment ID: O20230919001654 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Delia Iris Gonzalez, OTR/L 5554 Estero Loop, Port Orange, FL 32128-0006 Ph: (386) 589-1206 | Mrs Delia Iris Gonzalez, OTR/L 211 N Ridgewood Ave Ste 300, Daytona Beach, FL 32114-3294 Ph: (386) 235-6080 |
Dr. Tyler Scott Lacertosa, OTD Occupational Therapist Medicare: Medicare Enrolled Practice Location: 201 N Clyde Morris Blvd Ste 300, Daytona Beach, FL 32114 Phone: 386-236-7017 | |
Savannah Booker, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 570 National Health Care Dr, Daytona Beach, FL 32114 Phone: 386-238-3333 | |
Deidre Ann Shimp, OCCUPATIONAL THERAPY Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1219 Dunn Ave, Daytona Beach, FL 32114 Phone: 386-255-4568 Fax: 386-252-3403 | |
Mr. Kirk Andrew Denning, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 201 N Clyde Morris Blvd, Suite 300, Daytona Beach, FL 32114 Phone: 386-236-7017 | |
Deborah G Neller, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1219 Dunn Ave, Daytona Beach, FL 32114 Phone: 385-255-4568 | |
Jessica Dailey, COTA Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1219 Dunn Ave, Daytona Beach, FL 32114 Phone: 386-255-4568 |