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Individual

LESLY MELISSA GONZALEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
415 CATLETT RD, SEVIERVILLE, TN 37862-5901
(865) 453-4747
Mailing address
290 RIVER VALLEY CIR APT 1, SEVIERVILLE, TN 37862-5268
(865) 314-3046

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA0000007408
TN

Other

Enumeration date
07/14/2025
Last updated
07/14/2025
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