Healthcare Provider Details

I. General information

NPI: 1760502926
Provider Name (Legal Business Name): GEMMA CAALAMAN PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/30/2007
Last Update Date: 07/09/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12205 GUNSTOCK DR
COLORADO SPRINGS CO
80921
US

IV. Provider business mailing address

4465 KASHMIRE DR
COLORADO SPRINGS CO
80920-7610
US

V. Phone/Fax

Practice location:
  • Phone: 719-481-5055
  • Fax:
Mailing address:
  • Phone: 478-733-3391
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT008562
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: