MEDICARE: FRANC GONZALEZ

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	2305216929	VA

General Provider Information

NPI Number	:	1780488478
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FRANC GONZALEZ

Provider Business Mailing Address
First Line	:	5538 ZION RIDGE TER
Second Line	:
City	:	NORTH CHESTERFIELD
State	:	VA
Zip	:	23234-4595
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4420 S LABURNUM AVE STE 160
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23231-2477
Country	:	US
Telephone Number	:	804-399-3244
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/02/2025
Last Update Date	:	04/02/2025

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Directions to “ FRANC GONZALEZ ” Practice Location

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