Provider Demographics
NPI:1790091643
Name:GONZALEZ, CLAIRE ELIZABETH (DPT, OCS)
Entity Type:Individual
Prefix:
First Name:CLAIRE
Middle Name:ELIZABETH
Last Name:GONZALEZ
Suffix:
Gender:F
Credentials:DPT, OCS
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Mailing Address - Street 1:19768 YORBA LINDA BLVD
Mailing Address - Street 2:
Mailing Address - City:YORBA LINDA
Mailing Address - State:CA
Mailing Address - Zip Code:92886-2801
Mailing Address - Country:US
Mailing Address - Phone:714-693-0460
Mailing Address - Fax:714-693-0444
Practice Address - Street 1:19768 YORBA LINDA BLVD
Practice Address - Street 2:
Practice Address - City:YORBA LINDA
Practice Address - State:CA
Practice Address - Zip Code:92886-2801
Practice Address - Country:US
Practice Address - Phone:714-693-0460
Practice Address - Fax:714-693-0444
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-28
Last Update Date:2013-05-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA355172251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic