Doctor Name: | DR. BRAD M GILDEN |
NPI Number: | 1912186966 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPT, MSPT, CSCS |
License Number: | |
Business Practice Address: | 76 Valley Rd Cos Cob, CT - 068072533 |
Business Phone Number: | 2039835748 |
Business Fax Number: | |
Mailing Address: | 76 Valley Rd, COS COB |
State: | CT |
Postal Code: | 068072533 |
Phone Number: | 2039835748 |
Fax Number: | |
NPI Enumeration Date: | 10/26/2007 |
NPI Last Update Date: | 06/19/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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 |