Individual
DIANA CAROLINA GONZALEZ
Active
Individual
DIANA CAROLINA GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT26272
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26272
PT LICENSE 26272
FL
Enumeration date
07/17/2012
Last updated
07/17/2012
Update your record
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