Individual
MARJORIE VERNETTE GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
146 MARPLE RD, BROOMALL, PA 19008-2040
(610) 356-0100
Mailing address
101 E STATE ST, KENNETT SQUARE, PA 19348-3109
(800) 992-9711
(610) 925-4579
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
09/24/2009
Last updated
09/24/2009
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