Individual
JUANITA GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3935 MEDICAL DR, SAN ANTONIO, TX 78229-2102
(210) 614-4888
Mailing address
3935 MEDICAL DR, SAN ANTONIO, TX 78229-2102
(210) 614-4888
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2010740
TX
Other
Enumeration date
01/29/2019
Last updated
01/29/2019
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