Individual
ANTON R GONZALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2295 CHENE, DETROIT, MI 48207, DETROIT, MI 48207
(313) 923-5816
Mailing address
28431 CUNNINGHAM DR, WARREN, MI 48092-3427
(248) 464-7132
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502004845
MI
Other
Enumeration date
07/22/2020
Last updated
07/22/2020
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