Individual
REBECCA GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
801 S LOOP 250 W, MIDLAND, TX 79703-2134
(432) 689-2100
Mailing address
809 CHUKAR LN, MIDLAND, TX 79706-4307
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2055343
TX
Other
Enumeration date
08/30/2018
Last updated
08/30/2018
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