Doctor Name: | THERESE ANN GAUVAIN |
NPI Number: | 1740624469 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | PTL0008921 |
Business Practice Address: | 31383 Frost Way Evergreen, CO - 804392217 |
Business Phone Number: | 3036703549 |
Business Fax Number: | |
Mailing Address: | 25117 Sw Parkway Ave, Suite D WILSONVILLE |
State: | OR |
Postal Code: | 970709697 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 04/24/2013 |
NPI Last Update Date: | 04/24/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PTL0008921 |
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 |