Individual
WILLIAM GONZABA III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
2525 JENA ST, NEW ORLEANS, LA 70115-6322
(504) 733-0254
Mailing address
5606 JEFFERSON HWY, HARAHAN, LA 70123-5111
(504) 733-0254
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1261702
TX
Other
Enumeration date
08/04/2015
Last updated
06/29/2016
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