Individual
PAMELA GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1650 SKYLYN DR, SPARTANBURG, SC 29307-1047
(863) 541-0600
Mailing address
509 GOATSBEARD CT, SIMPSONVILLE, SC 29680-7238
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5690
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5690
PROAXIS
SC
Enumeration date
03/13/2007
Last updated
04/09/2008
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