Individual
GABRIEL A FONSECA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1951 W 25TH ST, STE C, YUMA, AZ 85364-6925
(928) 726-7900
(928) 726-7901
Mailing address
PO BOX 6956, YUMA, AZ 85366-2546
(928) 726-7900
(928) 726-7901
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6229
AZ
Other
Enumeration date
10/12/2006
Last updated
10/22/2013
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