Provider Demographics
NPI:1780299636
Name:GONZALES, CATHY LYNN LORENZANA (OTR/L)
Entity type:Individual
Prefix:
First Name:CATHY LYNN
Middle Name:LORENZANA
Last Name:GONZALES
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
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Mailing Address - Street 1:3303 CHATEAU DU LAC
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95148-3847
Mailing Address - Country:US
Mailing Address - Phone:408-674-6047
Mailing Address - Fax:
Practice Address - Street 1:6920 SANTA TERESA BLVD
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95119-1344
Practice Address - Country:US
Practice Address - Phone:408-605-6280
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-08
Last Update Date:2020-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics