Individual
JESSICA GONZALEZ PONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
6320 N LA CHOLLA BLVD STE 200, TUCSON, AZ 85741-3549
(520) 382-8200
(520) 297-3505
Mailing address
PO BOX 31630, TUCSON, AZ 85751-1630
(520) 784-6320
(520) 784-6390
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11474
AZ
225100000X
Physical Therapist
1246626
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
028556
—
AZ
Enumeration date
09/03/2014
Last updated
04/06/2018
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