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Contact Information

BREANNA GONZALEZ
3449 S. WRANGLER PL.
ONTARIO, CA91761
 Phone: 909-919-4901
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
 

Speech-Language Assistant

2355S0801X
Indicates primary specialty

NPI Profile & details for BREANNA GONZALEZ · (Female)

NPI Number 1023565660
Status Active
Credentials
Entity Individual
Enumeration date 09/01/2016
Last updated 06/11/2018 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • CA License # 18791
  • CA License # SP 3677
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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