Individual
ANNALEE DEWEY GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3215 NE 4TH AVE, HILLSBORO, OR 97124-1859
(503) 927-7778
Mailing address
3215 NE 4TH AVE, HILLSBORO, OR 97124-1859
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
2152677
TX
225200000X
Physical Therapy Assistant
6492
ID
225200000X
Physical Therapy Assistant
Primary
9854
OR
Other
Enumeration date
05/19/2020
Last updated
06/09/2020
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