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General NPI Number Information
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NPI Number | 1366359648
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Entity Type | Individual
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Provider Name | HEATHER KATHERINE GOTRO PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 08/25/2026
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Last Update Date | 08/25/2026
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Provider Practice Location Address
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Address Line | 4539 S DALE MABRY HWY STE 110
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City | TAMPA
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State | FL
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Zip | 33611-1404
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Country | US
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Telephone | 813-250-1208
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Fax |
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Provider Business Mailing Address
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Address Line | 4400 W SPRUCE ST
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City | TAMPA
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State | FL
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Zip | 33607-4149
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 055962
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT44796
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License Number State | FL
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