Individual
MRS. INDIA DAWN NILSSON-GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4448 EDGEWATER DR, ORLANDO, FL 32804-1216
(407) 513-3000
(407) 515-6519
Mailing address
4448 EDGEWATER DR, ORLANDO, FL 32804-1216
(407) 513-3000
(407) 515-6519
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 18701
FL
Other
Enumeration date
09/25/2008
Last updated
09/25/2008
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