Heather Gomez

NPI 1396179958 - Physical Therapist - 225100000X

NPI Details
NPI 1396179958
Gender Female
Enumeration Date 08/30/2013
Last Updated 08/30/2013
Entity Type Individual
Active Over 3 years ago
Practice Location
1000 LINCOLN DR
SOUTH CHARLESTON WV, 25309-2304, US
Phone (304) 766-1722
Fax (304) 766-8991
Business Location
957 MATHEWS AVE
CHARLESTON WV, 25302-2722, US
Phone
Fax
Toxanomy
Taxonomy Code 225100000X
License State West Virginia
License Number 003218
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According to our database, Heather Gomez NPI is 1396179958, taxonomy code is 225100000X and license number is 003218, license state is located at West Virginia. Heather Gomez physically located at 1000 Lincoln Dr, South Charleston WV, 25309-2304. NPI Number Heather Gomez has the Individual type.

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1396179958 NPI number is provided on an as is basis without warranty of any kind. 1396179958 is maintained by the National Plan & Provider Enumeration System. The contents of Heather Gomez are for informational purposes only.