Most Relevant Information
Provider Data
| NPI Number: | 1003173840 |
| Provider Name: | ISABEL GONZALES PTA |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: | A-0637 |
Most Important Dates
| Enumeration Date: | 04/18/2012 |
| Last Updated: | 04/18/2012 |
Provider Practice Location
1100 CENTRAL SE
ALBUQUERQUE
NM
871064930
Practice Location Phone/Fax
| Phone: | 5058411125 |
| Fax: | 5058411737 |
Provider Mailing Location
1100 CENTRAL SE
ALBUQUERQUE
NM
871064930
Provider Mailing Phone/Fax
| Phone: | 5058411125 |
| Fax: | 5058411737 |