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Individual

JOHN GONZALES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
11409 N CENTRAL EXPY, DALLAS, TX 75243-6678
(214) 363-5100
Mailing address
7425 LA VISTA DR APT 2222, DALLAS, TX 75214-4474

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2145507
TX

Other

Enumeration date
02/15/2022
Last updated
02/15/2022
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