| Doctor Name: | ELLEN GONZALEZ |
| NPI Number: | 1467816512 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DPT |
| License Number: | 35276 |
| Business Practice Address: | 101 The City Dr S Building 50 Orange, CA - 928683201 |
| Business Phone Number: | 7144566170 |
| Business Fax Number: | |
| Mailing Address: | 10072 Los Coyotes Ct, FOUNTAIN VALLEY |
| State: | CA |
| Postal Code: | 927086730 |
| Phone Number: | 7142872732 |
| Fax Number: | |
| NPI Enumeration Date: | 04/05/2016 |
| NPI Last Update Date: | 04/05/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 35276 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |