Individual
VICTORIA MARIA GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
11 CHRISTOPHER ST, STATEN ISLAND, NY 10303-2009
(917) 696-7588
Mailing address
11 CHRISTOPHER ST, STATEN ISLAND, NY 10303-2009
(917) 696-7588
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
010255
NY
Other
Enumeration date
12/04/2018
Last updated
12/04/2018
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