Vanessa Marya Gogates
Physical Therapist in Greenville, PA. Individual provider (NPI-1).
NPI number1982916821
StatusActive
Last updated in NPPESJul 8, 2010
Details
- NPI
- 1982916821
- Entity type
- Individual (NPI-1)
- Name
- Vanessa Marya Gogates
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 8, 2010
- Last updated
- Jul 8, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | PT020592 | PA | Yes |
Practice location
26 Conneaut Lake RdGreenville, PA 16125-2167
Phone 724-588-3001
Mailing address
220 Clinton StGreenville, PA 16125-2644
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