Individual
ANNABELLE GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7010 W HIGHWAY 71, STE 230, AUSTIN, TX 78735-8300
(512) 301-4200
Mailing address
116 CREST VIEW DR, LAKEWAY, TX 78734-5208
(512) 261-8999
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1059335
LICENSE #
TX
Enumeration date
08/30/2006
Last updated
07/08/2007
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