NPI Profile for BLANCA Z GONZALEZ KING in TUCKER, GA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Hand |
2251H1200X | 65 | Physical Therapist in Private Practice | |
Orthopedic |
2251X0800X | 65 | Physical Therapist in Private Practice |
| NPI # | 1275566762 |
|
| Status | Active | |
| Credentials | PT, CHT | |
| Entity | Individual | |
| Enumeration date | 07/08/2006 | |
| Last updated | 08/19/2014 - About 12 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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