Individual
AMY DOMINIQUE GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
306 N CALIFORNIA ST, SOCORRO, NM 87801-4207
(575) 835-8343
Mailing address
8704A DESERT HOLLY PL SE, ALBUQUERQUE, NM 87116-3222
(575) 770-5542
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT6124
NM
Other
Enumeration date
07/06/2022
Last updated
07/06/2022
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