Doctor Name: | MR. CARLOS GONZALEZ |
NPI Number: | 1861664765 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT. |
License Number: | PT335000 |
Business Practice Address: | 754 N Mountain Ave Ontario, CA - 917622544 |
Business Phone Number: | 9094604155 |
Business Fax Number: | 9099884414 |
Mailing Address: | 1717 E Lincoln Ave, ANAHEIM |
State: | CA |
Postal Code: | 928054345 |
Phone Number: | 7146352642 |
Fax Number: | 7146358547 |
NPI Enumeration Date: | 03/31/2008 |
NPI Last Update Date: | 03/31/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT335000 |
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 |