Individual
ALEXANDER B GON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1716 W HAMMER LN, STOCKTON, CA 95209-2922
(209) 473-2383
(209) 473-1350
Mailing address
1106 WALNUT ST STE 110, SAN LUIS OBISPO, CA 93401-2416
(805) 788-0805
(805) 788-0845
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT295203
CA
Other
Enumeration date
12/27/2018
Last updated
12/27/2018
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