Doctor Name: | HEATHER GOMEZ |
NPI Number: | 1396179958 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 003218 |
Business Practice Address: | 1000 Lincoln Dr South Charleston, WV - 253092304 |
Business Phone Number: | 3047661722 |
Business Fax Number: | 3047668991 |
Mailing Address: | 957 Mathews Ave, CHARLESTON |
State: | WV |
Postal Code: | 253022722 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 08/30/2013 |
NPI Last Update Date: | 08/30/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 003218 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WV |
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 |