Individual
DR. MARIESA GONZALES
Active
Individual
DR. MARIESA GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT, BSHA
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1268486
TX
225100000X
Physical Therapist
LPT-30112
AZ
225100000X
Physical Therapist
Primary
PT2023-2307
NM
Other
Enumeration date
11/19/2015
Last updated
11/08/2023
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