Jaclyn Anne Gonzalez

NPI #1083222335 in Midland Park, New Jersey

Provider Information

NPI Number: 1083222335
Entity Type: Individual
Name: Jaclyn Anne Gonzalez
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Jul 22, 2020
Last Updated: Jul 22, 2020

Practice Location

Address: 85 GODWIN AVE
City: Midland Park
State: New Jersey
ZIP Code: 07432-1970
Phone: (201) 639-8870

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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