Doctor Name: | CHARLES CARY GOLD |
NPI Number: | 1295717916 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 3341 |
Business Practice Address: | 5377 Manhattan Cir Suite 102 Boulder, CO - 803034344 |
Business Phone Number: | 3034497611 |
Business Fax Number: | 3034428786 |
Mailing Address: | 5377 Manhattan Cir, Suite 102 BOULDER |
State: | CO |
Postal Code: | 803034333 |
Phone Number: | 3034497611 |
Fax Number: | 3034428786 |
NPI Enumeration Date: | 11/17/2005 |
NPI Last Update Date: | 07/16/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 3341 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
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 |