Individual
BRIAN GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
3710 FRANKLIN ST, MICHIGAN CITY, IN 46360-7311
(219) 561-0828
Mailing address
3710 FRANKLIN ST, MICHIGAN CITY, IN 46360-7311
(219) 561-0828
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06004948A
IN
Other
Enumeration date
12/01/2022
Last updated
12/01/2022
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