Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kristian Gonzalez

Individual provider Occupational Therapy Assistant · NPI 1518776228

Kristian Gonzalez is an Occupational Therapy Assistant in Lake Wales, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2025
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Practice location Address checks out

742 Hillside Ave
Lake Wales, FL 33853-3421
Phone: (863) 258-2095
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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 19399 (FL)

Record details

NPI number1518776228
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 6, 2025
Last updated in NPPESJanuary 6, 2025
Certification dateJanuary 6, 2025
Mailing address742 Hillside Ave, Lake Wales, FL 33853-3421

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