Individual
MATTHEW JOHN GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
3143 GOLDEN MEADOW WAY, COLORADO SPRINGS, CO 80908-5238
(719) 331-4743
Mailing address
3143 GOLDEN MEADOW WAY, COLORADO SPRINGS, CO 80908-5238
(719) 331-4743
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0013763
CO
Other
Enumeration date
03/14/2022
Last updated
03/14/2022
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