Individual
JOEL SAMUEL GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.T.
Contact information
Practice address
4921 AIRLINE DR, METAIRIE, LA 70001-5664
(504) 889-2663
(504) 889-5615
Mailing address
4921 AIRLINE DR, METAIRIE, LA 70001-5664
(504) 889-2663
(504) 889-5615
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
09168
LA
Other
Enumeration date
08/04/2015
Last updated
08/04/2015
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