Individual
VICTORIA TAYLOR-GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
2001B WORLD WIDE DR, FORT WORTH, TX 76177-2900
(800) 463-3339
Mailing address
2308 NW CHEYENNE AVE, LAWTON, OK 73505-3935
(940) 704-1726
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT8841
TX
Other
Enumeration date
10/12/2021
Last updated
10/12/2021
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