Doctor Name: | JENNIFFER GAITE |
NPI Number: | 1215133715 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 05008583A |
Business Practice Address: | 770 N 075 E Lagrange, IN - 467619359 |
Business Phone Number: | 2604637445 |
Business Fax Number: | |
Mailing Address: | 8905 Dunmore Ln, FORT WAYNE |
State: | IN |
Postal Code: | 468043449 |
Phone Number: | 2603363668 |
Fax Number: | |
NPI Enumeration Date: | 06/22/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 05008583A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |