Individual
LOURDES GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6460 SW 129TH PL APT 1810, MIAMI, FL 33183-5223
(786) 262-3736
Mailing address
6460 SW 129TH PL APT 1810, MIAMI, FL 33183-5223
(786) 262-3736
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 26157
FL
Other
Enumeration date
12/18/2015
Last updated
12/18/2015
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