| Doctor Name: | DANIEL DAVID GONZALEZ |
| NPI Number: | 1780628271 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT, OCS |
| License Number: | 1072890 |
| Business Practice Address: | 103 Livingston Loop Ste. B-1 Santa Teresa, NM - 880089747 |
| Business Phone Number: | 5755877061 |
| Business Fax Number: | 9154938264 |
| Mailing Address: | 103 Livingston Loop, Ste. B-1 SANTA TERESA |
| State: | NM |
| Postal Code: | 880089747 |
| Phone Number: | 5755877061 |
| Fax Number: | 9154938264 |
| NPI Enumeration Date: | 06/15/2006 |
| NPI Last Update Date: | 09/27/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 1072890 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| 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 |