Individual
JESSE JON GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
35 HOLY FAMILY RD, HOLYOKE, MA 01040-2701
(413) 532-3246
Mailing address
121 FLORENCE RD, FLORENCE, MA 01062-2669
(413) 241-9005
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
9739
MA
Other
Enumeration date
03/03/2020
Last updated
03/03/2020
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