Omega Rebecca Gonzales

NPI 1053590877 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1053590877
Gender Female
Enumeration Date 10/29/2007
Last Updated 09/11/2008
Entity Type Individual
Active Over 9 years ago
Practice Location
3501 N. BUTLER, STE 101 AND 102
FARMINGTON NM, 87401-5630, US
Phone (505) 326-0064
Fax
Business Location
3501 N BUTLER AVE STE AND102
FARMINGTON NM, 87401-6429, US
Phone (505) 326-0064
Fax
Toxanomy
Taxonomy Code 225200000X
License State New Mexico
License Number A-0491
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According to our database, Ms. Omega Rebecca Gonzales NPI is 1053590877, taxonomy code is 225200000X and license number is A-0491, license state is located at New Mexico. Omega Rebecca Gonzales physically located at 3501 N. Butler, Ste 101 And 102, Farmington NM, 87401-5630. NPI Number Omega Rebecca Gonzales has the Individual type.

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1053590877 NPI number is provided on an as is basis without warranty of any kind. 1053590877 is maintained by the National Plan & Provider Enumeration System. The contents of Omega Rebecca Gonzales are for informational purposes only.