Individual
MRS. BLANCA ZITA GONZALEZ-KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, CHT
Contact information
Practice address
2171 NORTHLAKE PKWY, SUITE 118, TUCKER, GA 30084-4104
(770) 934-5712
(770) 934-5728
Mailing address
2171 NORTHLAKE PKWY, SUITE 118, TUCKER, GA 30084-4104
(770) 934-5712
(770) 934-5728
Taxonomy
Speciality
Code
Description
License number
State
2251H1200X
Hand Physical Therapist
Primary
1091
GA
2251X0800X
Orthopedic Physical Therapist
1091
GA
Other
Enumeration date
07/08/2006
Last updated
08/19/2014
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