NPI 1033728241

Jeffrey Gonzales

Practitioner Physical Therapy Assistant Anaheim, CA

Practice location

Address: 2379 S Mira CT Unit 200, Anaheim, CA 92802-5513
Phone: (714) 422-6212

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 9668 (CA)

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Registry record

NPI: 1033728241
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Jul 2020
Record last updated: 24 Jul 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.