Individual
TARIN GONZALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1 LINNIE CT, EDGEWOOD, NM 87015-9125
(505) 286-7838
Mailing address
PO BOX 896, EDGEWOOD, NM 87015-0896
(505) 286-7838
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3552
NM
Other
Enumeration date
10/15/2008
Last updated
08/09/2016
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