Individual provider · Type 1 NPI

Jonathan Orio Gonzaga, PT

Specialist · Fair Lawn, NJ

NPI number 1629248562 Active

Practice location

14-25 Plaza Rd, S31
Fair Lawn, NJ 07410-3546

Fax (201) 797-2051

Specialties and licenses

TaxonomyCodeLicense
Specialist 174400000X028580 (NY)
Specialist Primary 174400000X40QA01303200 (NJ)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1629248562

Jonathan Orio Gonzaga, PT's National Provider Identifier is 1629248562, issued on Mar 6, 2008. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Fair Lawn, NJ. The record was last updated on Jun 6, 2013.