Individual
SANDRA GENERALAO GONZALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1510 BYRUM RD, BLYTHEVILLE, AR 72315-8033
(870) 532-2600
Mailing address
121 SHIELDS LN, BLYTHEVILLE, AR 72315-6129
(870) 532-8280
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 1183
AR
Other
Enumeration date
02/26/2007
Last updated
07/08/2007
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