Individual provider · Type 1 NPI

Gabriel Gonzales-Wicketts

Physical Therapy Assistant · Albuquerque, NM

NPI number 1083277545 Active

Practice location

2929 Coors Blvd NW
Albuquerque, NM 87120-1173

Mailing address

3844 Havasu Falls St NE
Rio Rancho, NM 87144-2545

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XPTA1588 (NM)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1083277545

Gabriel Gonzales-Wicketts's National Provider Identifier is 1083277545, issued on Apr 19, 2019. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Albuquerque, NM. The record was last updated on Apr 19, 2019.