Individual
GREGORY GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1212 S BRIDGE AVE, WESLACO, TX 78596-7906
(956) 968-2121
Mailing address
1212 S BRIDGE AVE, WESLACO, TX 78596-7999
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2113931
TX
Other
Enumeration date
09/14/2018
Last updated
09/14/2018
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