Individual
ALEXA GABRIELLE GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
201 CALLE DE LOS MOLINOS, SAN CLEMENTE, CA 92672-3874
(949) 388-5692
Mailing address
201 CALLE DE LOS MOLINOS, SAN CLEMENTE, CA 92672-3874
(949) 388-5692
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
302573
CA
Other
Enumeration date
08/30/2022
Last updated
08/30/2022
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