Individual
AMANDA GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1718 SYLVAN WAY APT 1206, LODI, CA 95242-4331
(805) 722-4032
Mailing address
1718 SYLVAN WAY APT 1206, LODI, CA 95242-4331
(805) 722-4032
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
51850
CA
Other
Enumeration date
09/22/2022
Last updated
09/22/2022
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