NPI 1326620741

Owen Gonzalez, CPO

Practitioner Orthotist Jacksonville, NC

Practice location

Address: 2680 Henderson Dr STE 3, Jacksonville, NC 28546-5297
Phone: (910) 219-1455

Registered specialties (2)

Orthotist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X Licence CO006226 (FL)

Other Orthotist providers in North Carolina →

Prosthetist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X

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Registry record

NPI: 1326620741
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Apr 2021
Record last updated: 26 Apr 2021

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.