Burgess Gonzalez, Mandie Lynn
Burgess Gonzalez, Mandie Lynn is an sole proprietor health care provider with primary practice located at 649 John Ohara St , Pottsville PA 17901-1607. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Burgess Gonzalez, Mandie Lynn can be contacted via phone (570) 933-0072.Contact Information
Primary practice address
649 John Ohara St
Pottsville PA 17901-1607
Phone: (570) 933-0072
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X | TE008109 | Pennsylvania |
Profile Details
| NPI number | 1568614394 |
|---|---|
| LBN Legal business name | Burgess Gonzalez, Mandie Lynn |
| Credentials | Physical Therapist Assistant (PTA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 10th, 2008 |
| Last updated | Oct 10th, 2008 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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