Individual
MR. ERIC GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA, CPT
Contact information
Practice address
10 PARSONAGE RD, 5TH FLOOR, SUITE 500, EDISON, NJ 08837-2429
(917) 684-5080
Mailing address
25 S 4TH AVE, FLOOR 2, HIGHLAND PARK, NJ 08904-2620
(917) 684-5080
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
009807-1
NY
225200000X
Physical Therapy Assistant
Primary
40QB00324300
NJ
Other
Enumeration date
01/05/2017
Last updated
01/18/2017
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