| Doctor Name: | MR. ROBERT JOHN GOMES |
| NPI Number: | 1043427875 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | OTRL |
| License Number: | 4886 |
| Business Practice Address: | 2700 Dolbeer St Eureka, CA - 955014736 |
| Business Phone Number: | 7074458121 |
| Business Fax Number: | |
| Mailing Address: | 200 Siler Ln, Apartment D EUREKA |
| State: | CA |
| Postal Code: | 955013381 |
| Phone Number: | 7074432795 |
| Fax Number: | |
| NPI Enumeration Date: | 05/17/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225XH1200X |
| License Number: | 4886 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Occupational Therapist |
| Taxonomy Specialization: | Hand |
| Taxonomy Definition: | |