Individual
LILLIBETH GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1250 WATERS PL, SUITE 501, BRONX, NY 10461-2720
(718) 409-9444
(718) 409-0236
Mailing address
1250 WATERS PL, SUITE 501, BRONX, NY 10461-2720
(718) 409-9444
(718) 409-0236
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
004682-1
NY
Other
Enumeration date
11/07/2006
Last updated
09/15/2008
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