Most Relevant Information
Provider Data
| NPI Number: | 1003398793 |
| Provider Name: | REBECCA GONZALEZ PTA |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: | 2055343 |
Most Important Dates
| Enumeration Date: | 08/30/2018 |
| Last Updated: | 08/30/2018 |
Provider Practice Location
801 S LOOP 250 W
MIDLAND
TX
797032134
Practice Location Phone/Fax
| Phone: | 4326892100 |
| Fax: |
Provider Mailing Location
809 CHUKAR LN
MIDLAND
TX
797064307
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |