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Individual

JOSHUA GOMEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
3506 WASHINGTON RD, KENOSHA, WI 53144-1654
(262) 653-3800
Mailing address
2705 11TH PL UNIT 908, KENOSHA, WI 53140-6409
(262) 945-5674

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2770
WI

Other

Enumeration date
06/11/2019
Last updated
06/11/2019
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