Healthcare Provider Details

I. General information

NPI: 1144482233
Provider Name (Legal Business Name): GINA MARIE GUZOWSKI P.T.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: GINA MARIE CHIANCONE P.T.

II. Dates (important events)

Enumeration Date: 06/30/2008
Last Update Date: 02/07/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

170 TAYLOR STATION RD
COLUMBUS OH
43213-4441
US

IV. Provider business mailing address

170 TAYLOR STATION RD
COLUMBUS OH
43213-4441
US

V. Phone/Fax

Practice location:
  • Phone: 614-545-7900
  • Fax: 614-545-7901
Mailing address:
  • Phone: 614-545-7900
  • Fax: 614-545-7901

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT012135
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: