Individual
MS. CATHERINE BIRTHA GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3606 INGALLS ST, WHEAT RIDGE, CO 80033-7435
(970) 744-1305
Mailing address
3606 INGALLS ST, WHEAT RIDGE, CO 80033-7435
(970) 744-1305
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0011619
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0011619
PTA
CO
Enumeration date
05/07/2013
Last updated
05/07/2013
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