Individual
MRS. EMMA LOUISA VERA GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
3201 W COMMERCIAL BLVD, SUITE 116, FORT LAUDERDALE, FL 33309-3440
(954) 332-4449
(866) 884-8106
Mailing address
3201 W COMMERCIAL BLVD, SUITE 116, FORT LAUDERDALE, FL 33309-3440
(954) 332-4449
(866) 884-8106
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
040.0047667
VT
225100000X
Physical Therapist
18636
MA
225100000X
Physical Therapist
3281
ME
225100000X
Physical Therapist
Primary
3698
NM
Other
Enumeration date
01/31/2010
Last updated
01/31/2010
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