| Doctor Name: | ANGIE GOROSPE |
| NPI Number: | 1861547093 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT |
| License Number: | PT32659 |
| Business Practice Address: | 2701 Calloway Dr # 400 Bakersfield, CA - 933122621 |
| Business Phone Number: | 6615899066 |
| Business Fax Number: | 6615894209 |
| Mailing Address: | 1201 23rd St, BAKERSFIELD |
| State: | CA |
| Postal Code: | 933012306 |
| Phone Number: | 6613274357 |
| Fax Number: | 6613272311 |
| NPI Enumeration Date: | 01/25/2007 |
| NPI Last Update Date: | 02/15/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | PT32659 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |