Most Relevant Information
Provider Data
| NPI Number: | 1003396276 |
| Provider Name: | JO ANN KRISTIN GONZALES PTA |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: | 2119630 |
Most Important Dates
| Enumeration Date: | 08/17/2018 |
| Last Updated: | 08/17/2018 |
Provider Practice Location
702 N ED CAREY DR
HARLINGEN
TX
785507914
Practice Location Phone/Fax
| Phone: | 9564401155 |
| Fax: | 9564400913 |
Provider Mailing Location
1900 S JACKSON RD STE 2
MCALLEN
TX
785031589
Provider Mailing Phone/Fax
| Phone: | 9566304400 |
| Fax: | 9566304447 |