Individual
CARLO MAGNO GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
810 JOE BROOKS DR, JONESBORO, AR 72401-4133
(870) 931-6789
Mailing address
801 N 2ND ST APT G50, BLYTHEVILLE, AR 72315-2021
(870) 931-6789
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT2960
AR
Other
Enumeration date
04/17/2007
Last updated
07/08/2007
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