| Ethan Carlos Gonzales, DPT | |
|
999 Route 73 N Fl 4, Marlton, NJ 08053-1227 | |
| (856) 821-6372 | |
| (856) 821-6339 |
| Full Name | Ethan Carlos Gonzales |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 999 Route 73 N Fl 4, Marlton, New Jersey |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386471381 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 40QA02289100 (New Jersey) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ethan Carlos Gonzales, DPT 2906 Good Intent Rd, Woodbury, NJ 08096-4458 Ph: (856) 834-4839 | Ethan Carlos Gonzales, DPT 999 Route 73 N Fl 4, Marlton, NJ 08053-1227 Ph: (856) 821-6372 |
Mrs. Deana Marie Ercolani, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 92 Brick Rd, Marlton, NJ 08053 Phone: 856-988-8778 | |
Dr. Elaine Sung, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 102 Weaver Drive, Marlton, NJ 08053 Phone: 310-880-6078 | |
Lezlie Schwartz, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3001 Lincoln Dr W, Suite I, Marlton, NJ 08053 Phone: 856-396-3173 Fax: 856-396-0063 | |
Dr. Rocco Harry Gervasi, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 245 Horseshoe Lane, Marlton, NJ 08053 Phone: 609-462-2519 | |
Mrs. Irma Tetruashvily, DPT,GCS,SCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9 Normandy Rd, Marlton, NJ 08053 Phone: 856-552-0449 Fax: 856-552-0187 | |
Dr. Korey Frederick Johnson, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 999 Route 73 N, Marlton, NJ 08053 Phone: 856-821-6366 | |
Grace Coleman, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 92 Brick Rd, Marlton, NJ 08053 Phone: 856-988-8778 |