Individual
ANNIZ GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2911 GEORGE BUSBEE PKWY NW STE 50, KENNESAW, GA 30144-6910
(770) 545-6404
Mailing address
2588 CHAMBERS RD, MARIETTA, GA 30066-5268
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA004508
GA
Other
Enumeration date
02/10/2022
Last updated
02/10/2022
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