Individual
JOHN GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
2100 N DAVIDSON ST STE C, CHARLOTTE, NC 28205-1828
(980) 556-7780
Mailing address
1311 MAMARONECK AVE STE 140, WHITE PLAINS, NY 10605-5224
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
11775
SC
225100000X
Physical Therapist
Primary
P21994
NC
Other
Enumeration date
02/09/2023
Last updated
03/10/2023
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