Individual
MS. LENNIS IVETTE GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
144 N MAIN ST, BRANFORD, CT 06405-3044
(203) 481-0818
(203) 483-9843
Mailing address
80 HORSE POND RD, MADISON, CT 06443-2513
(203) 245-4509
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
003729
CT
Other
Enumeration date
07/11/2006
Last updated
07/08/2007
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