Mia M Gonzales, PT

NPI #1215154927 in Glen Ellyn, Illinois

Provider Information

NPI Number: 1215154927
Entity Type: Individual
Name: Mia M Gonzales, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Apr 20, 2007
Last Updated: May 26, 2023

Practice Location

Address: 854 ROOSEVELT RD UNIT E10
City: Glen Ellyn
State: Illinois
ZIP Code: 60137-6057
Phone: (630) 967-2000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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