Individual
MICHELLE GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
2761 JANITELL RD, COLORADO SPRINGS, CO 80906-4102
(719) 623-4500
Mailing address
2761 JANITELL RD, COLORADO SPRINGS, CO 80906-4102
(719) 623-4500
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1348237
TX
225100000X
Physical Therapist
PT024159
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4321523
—
TX
Enumeration date
05/13/2015
Last updated
06/28/2023
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