Individual
JUAN CARLOS GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
215 COLLEGE ST, GRAHAM, NC 27253-2206
(336) 228-8394
Mailing address
6611 EFLAND CEDAR GROVE RD, CEDAR GROVE, NC 27231-9761
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
NC
Other
Enumeration date
01/24/2021
Last updated
01/24/2021
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