Xiang Gao DPT

NPI 1043697634 - Physical Therapist - 225100000X

NPI Details
NPI 1043697634
Gender Male
Enumeration Date 05/03/2015
Last Updated 05/03/2015
Entity Type Individual
Active Over 1 year ago
Practice Location
1762 PARK TRL NE
GRAND RAPIDS MI, 49525-7041, US
Phone (616) 635-9762
Fax
Business Location
1762 PARK TRL NE
GRAND RAPIDS MI, 49525-7041, US
Phone (616) 635-9762
Fax
Toxanomy
Taxonomy Code 225100000X
License State New York
License Number 037554
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According to our database, Xiang Gao DPT NPI is 1043697634, taxonomy code is 225100000X and license number is 037554, license state is located at New York. Xiang Gao DPT physically located at 1762 Park Trl Ne, Grand Rapids MI, 49525-7041. NPI Number Xiang Gao DPT has the Individual type.

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1043697634 NPI number is provided on an as is basis without warranty of any kind. 1043697634 is maintained by the National Plan & Provider Enumeration System. The contents of Xiang Gao DPT are for informational purposes only.