Individual
MRS. SARA GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
53 HARRIS AVE, ALBANY, NY 12208-3018
(518) 364-7483
Mailing address
53 HARRIS AVE, ALBANY, NY 12208-3018
(518) 364-7483
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
006020
NY
Other
Enumeration date
05/03/2016
Last updated
05/03/2016
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