Individual
MS. GINA S GONZALEZ
Active
Individual
MS. GINA S GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4917
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07870
BCBS OF NC
NC
Enumeration date
04/14/2006
Last updated
12/17/2013
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