Individual
MS. ARTURO AVERGONZADO JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPT
Contact information
Practice address
3039 CONGRESS DR, KOKOMO, IN 46902-8030
(765) 513-9287
(765) 455-2824
Mailing address
3039 CONGRESS DR, KOKOMO, IN 46902-8030
(765) 513-9287
(765) 455-2824
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
05007798A
IN
Other
Enumeration date
11/06/2006
Last updated
07/08/2007
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