Most Relevant Information
Provider Data
| NPI Number: | 1003316902 |
| Provider Name: | DESALY DANIELLA GONZALEZ |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | PT33372 |
Most Important Dates
| Enumeration Date: | 02/16/2018 |
| Last Updated: | 07/25/2022 |
Provider Practice Location
9619 S DIXIE HWY
MIAMI
FL
331562804
Practice Location Phone/Fax
| Phone: | 3057220568 |
| Fax: | 3056700899 |
Provider Mailing Location
PO BOX 331933
MIAMI
FL
332331933
Provider Mailing Phone/Fax
| Phone: | 3057220568 |
| Fax: | 3056700899 |