Most Relevant Information
Provider Data
| NPI Number: | 1003823360 |
| Provider Name: | FLORIE GONZALES OTR/L, CHT |
| Entity Type: | Individual |
| Taxonomy Code: | 171000000X |
| Specialty: | Military Health Care Provider |
| License Number: | KY-R2223 |
Most Important Dates
| Enumeration Date: | 08/01/2006 |
| Last Updated: | 02/27/2017 |
Provider Practice Location
3927 RUCKER AVE
EVERETT
WA
982014833
Practice Location Phone/Fax
| Phone: | 4253395491 |
| Fax: | 4253394219 |
Provider Mailing Location
PO BOX 5127
EVERETT
WA
982065127
Provider Mailing Phone/Fax
| Phone: | 4253395491 |
| Fax: |