Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jeremy David Gonzales, COTA/L

Individual provider Occupational Therapy Assistant · NPI 1548605678

Jeremy David Gonzales, COTA/L is an Occupational Therapy Assistant in Lake Mary, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2013
What do these letters mean?
COTA/L — Certified Occupational Therapy Assistant, Licensed
An occupational therapy assistant who is both certified and state licensed.

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Practice location Address checks out

289 Morning Glory Dr
Lake Mary, FL 32746-6100
Phone: (407) 416-4867
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence OTA 10825 (FL)

Record details

NPI number1548605678
Entity typeIndividual (Type 1)
GenderMale
Credentials COTA/L
Sole proprietorYes
NPI enumeratedMay 2, 2013
Last updated in NPPESMay 2, 2013

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