Dominique Gomez Modesto in Egg Harbor Township - Physical Therapist
Dominique Gomez Modesto - NPI 1891817367
Dominique Gomez Modesto is a Physical Therapist in Egg Harbor Township, New Jersey. Dominique Gomez Modesto practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Dominique Gomez Modesto is 1891817367. The last update date is 2007-07-08.
Dominique Gomez Modesto's current location address is 258 Churchill Dr, Egg Harbor Township, New Jersey. You can contact this provider via phone number 6096532798 and fax number 6096532798. The mailing address for Dominique Gomez Modesto is 258 Churchill Dr, Egg Harbor Township, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dominique Gomez Modesto |
|---|---|
| Address | 258 Churchill Dr, Egg Harbor Township, New Jersey |
| Phone Number | 6096532798 |
| Fax Number | 6096532798 |
| Sole Proprietor | Y |
| Credentials | PT |
NPI Number Detail
| NPI Number | 1891817367 |
|---|---|
| Provider Enumeration Date | 2007-04-04 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 258 Churchill Dr |
|---|---|
| City | Egg Harbor Township |
| State | New Jersey (NJ) |
| Post Code | 82348002 |
| Phone Number | 6096532798 |
| Fax Number | 6096532798 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | 40QA00964000 |
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Definition: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per |
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What is the Dominique Gomez Modesto's 1891817367?
The Dominique Gomez Modesto's NPI (National Provider Identifier) Number is 1891817367. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Dominique Gomez Modesto is geographically located?
The Dominique Gomez Modesto is physically situated at the following location: 258 Churchill Dr, Egg Harbor Township, NJ, 82348002.
What is the Dominique Gomez Modesto's specialty and taxonomy code?
The Dominique Gomez Modesto's specialty is Physical Therapist, and the corresponding taxonomy code is 225100000X.
On what date did Dominique Gomez Modesto receive its 1891817367 assignment from the Centers for Medicare & Medicaid Services?
The Dominique Gomez Modesto was assigned its 1891817367 on 2007-04-04, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Dominique Gomez Modesto's details last updated?
The information pertaining to the Dominique Gomez Modesto, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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