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NPI Code Detail

MEDICARE: CHRISTINE GORCICA LPTA

MEDICARE: CHRISTINE GORCICA LPTA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225200000XPhysical Therapy Assistant2306601768VA

General Provider Information

NPI Number : 1598898629
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINE GORCICA LPTA
Provider Business Mailing Address
First Line : 1725 GRAVENHURST DR
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23464-8651
Country : US
Telephone Number : 757-495-7744
Fax Number :
Provider Business Practice Location Address
First Line : 1309 KEMPSVILLE RD
Second Line :
City : NORFOLK
State : VA
Zip : 23502-2205
Country : US
Telephone Number : 757-461-5001
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/14/2007
Last Update Date : 07/08/2007

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Directions to “ CHRISTINE GORCICA LPTA” Practice Location

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