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Contact Information

JESSICA GONZALEZ, PT, DPT, GCS
1049 ANNA KNAPP BLVD
MOUNT PLEASANT, SC29464-3133
 Phone: 843-972-0498
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatrics

2251G0304X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for JESSICA GONZALEZ · (Female)

NPI Number 1437507449
Status Active
Credentials PT, DPT, GCS
Entity Individual
Enumeration date 05/31/2016
Last updated 05/31/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • SC License # 6497
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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