Doctor Name: | MR. ROBERT M. GDOVIN |
NPI Number: | 1811066681 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P.T. |
License Number: | PT-005514-L |
Business Practice Address: | 1 Bala Plz Suite 134 Bala Cynwyd, PA - 190041403 |
Business Phone Number: | 6106684055 |
Business Fax Number: | |
Mailing Address: | 148 S Manoa Rd, HAVERTOWN |
State: | PA |
Postal Code: | 190833301 |
Phone Number: | 6108533570 |
Fax Number: | |
NPI Enumeration Date: | 11/07/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT-005514-L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
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 |