Most Relevant Information
Provider Data
| NPI Number: | 1003223140 |
| Provider Name: | LEON GONZALEZ |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: | PTA24888 |
Most Important Dates
| Enumeration Date: | 07/21/2014 |
| Last Updated: | 07/21/2014 |
Provider Practice Location
8612 GRIFFIN RD
COOPER CITY
FL
333283719
Practice Location Phone/Fax
| Phone: | 9542528900 |
| Fax: |
Provider Mailing Location
254 MAPLE TER
DAVIE
FL
333256752
Provider Mailing Phone/Fax
| Phone: | 9548043244 |
| Fax: |