Jacqueline N/a Gonzalez, PTA

NPI #1265096945 in Cicero, Illinois

Provider Information

NPI Number
1265096945
Entity Type
Individual
Name
Jacqueline N/a Gonzalez, PTA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physical Therapy Assistant
Credential
PTA
Enumeration Date
Apr 27, 2019
Last Updated
Feb 17, 2020

Practice Location

Address
3521 S 56TH CT
City
Cicero
ZIP Code
60804
Phone
(708) 714-7919

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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