Individual
EVELIN GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
94220 4TH ST, GOLD BEACH, OR 97444-7756
(541) 247-3000
Mailing address
PO BOX 481, SEAGRAVES, TX 79359-0481
(806) 332-9218
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2158869
TX
225200000X
Physical Therapy Assistant
CP004573A
OR
225200000X
Physical Therapy Assistant
PTA1787
NM
Other
Enumeration date
03/16/2021
Last updated
03/16/2021
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