NPI 1053590877
Omega Rebecca Gonzales
Practice location
- Address
- 3501 N. Butler, STE 101 and 102, Farmington, NM 87401-5630
- Phone
- (505) 326-0064
- Mailing address
- 3501 N Butler Ave STE And102, Farmington, NM 87401-6429
Registered specialties
Physical Therapy Assistant
Primary
Registry record
- NPI
- 1053590877
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 29 Oct 2007
- Record last updated
- 11 Sep 2008
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.