BRIAN GONZALEZ

MICHIGAN CITY, IN
NPI1477263374
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IN  06004948A)
Enumeration Date2022-12-01
Last Update Date2022-12-01
Business Address
BRIAN GONZALEZ PTA
3710 FRANKLIN ST
MICHIGAN CITY, IN 46360-7311
Phone number: 219-561-0828
Mailing Address
BRIAN GONZALEZ PTA
3710 FRANKLIN ST
MICHIGAN CITY, IN 46360-7311
Phone number: 219-561-0828