Individual
DR. JOSUE OMAR GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
5002 GENE FIELD RD, SAINT JOSEPH, MO 64506-2056
(816) 396-6646
Mailing address
331 NW 96TH ST APT B108, KANSAS CITY, MO 64155-2103
(551) 482-5831
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2020040243
MO
Other
Enumeration date
09/15/2021
Last updated
09/15/2021
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