Individual
ARIEL GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPTA
Contact information
Practice address
36137 WARREN RD, WESTLAND, MI 48185-2027
(734) 728-6100
Mailing address
40022 EATON ST APT 104, CANTON, MI 48187-4511
(734) 516-6677
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502001692
MI
Other
Enumeration date
02/06/2019
Last updated
02/06/2019
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