MEDICARE: ERIKA GOHL PT

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
1	225100000X	Physical Therapist	PT25903	CA

General Provider Information

NPI Number	:	1972553725
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIKA GOHL PT

Provider Business Mailing Address
First Line	:	2874 N CARSON ST
Second Line	:	SUITE 100
City	:	CARSON CITY
State	:	NV
Zip	:	89706-0177
Country	:	US
Telephone Number	:	775-883-4161
Fax Number	:

Provider Business Practice Location Address
First Line	:	394 S GREEN VALLEY RD
Second Line	:
City	:	WATSONVILLE
State	:	CA
Zip	:	95076-3099
Country	:	US
Telephone Number	:	831-786-9000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/11/2006
Last Update Date	:	07/08/2007

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