Most Relevant Information
Provider Data
| NPI Number: | 1003371485 |
| Provider Name: | ADRIAN GONZALEZ |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 295982 |
Most Important Dates
| Enumeration Date: | 02/09/2019 |
| Last Updated: | 02/09/2019 |
Provider Practice Location
517 S A ST
MADERA
CA
936383806
Practice Location Phone/Fax
| Phone: | 5596739228 |
| Fax: |
Provider Mailing Location
20515 ROBERTSON BLVD
CHOWCHILLA
CA
936109025
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |