Individual
DANIEL DAVID GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, OCS
Contact information
Practice address
103 LIVINGSTON LOOP, STE. B-1, SANTA TERESA, NM 88008-9747
(575) 587-7061
(915) 493-8264
Mailing address
103 LIVINGSTON LOOP, STE. B-1, SANTA TERESA, NM 88008-9747
(575) 587-7061
(915) 493-8264
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1072890
TX
225100000X
Physical Therapist
Primary
2431
NM
Other
Enumeration date
06/15/2006
Last updated
09/27/2012
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