Individual
JESSICA GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
5608 SE 67TH ST STE 105, OKLAHOMA CITY, OK 73135-1719
(405) 610-7800
Mailing address
10016 S KLEIN AVE, OKLAHOMA CITY, OK 73139-2921
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2900
OK
Other
Enumeration date
10/26/2022
Last updated
10/26/2022
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