Individual
MS. MERCEDES GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
400 W CUMMINGS PARK, #3950, WOBURN, MA 01801-6519
(800) 451-9101
Mailing address
39 MANOR DR, CORNWALL, NY 12518-1474
(845) 534-4190
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
000803
NY
Other
Enumeration date
05/09/2007
Last updated
07/08/2007
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