Doctor Name: | THOMAS J GONZALES |
NPI Number: | 1922183169 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 5501010279 |
Business Practice Address: | 2900 Union Lake Rd Suite 102 Commerce Township, MI - 483823500 |
Business Phone Number: | 2483638267 |
Business Fax Number: | |
Mailing Address: | 6066 Strawberry Cir, COMMERCE TOWNSHIP |
State: | MI |
Postal Code: | 483825510 |
Phone Number: | 2483661384 |
Fax Number: | |
NPI Enumeration Date: | 10/26/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 5501010279 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
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 |