Individual
MR. JARRET GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
14 SANFORD ST, UNIT 67, MEDWAY, MA 02053-1042
(508) 505-6330
Mailing address
14 SANFORD ST, UNIT 67, MEDWAY, MA 02053-1042
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
8307
MA
Other
Enumeration date
04/29/2010
Last updated
04/29/2010
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