Individual
NICHOLAS ALAN GUNTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT5727
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00538755
—
MS
01
—
453893ZRYN
MEDICARE PTAN
MS
Enumeration date
10/30/2015
Last updated
04/04/2016
Update your record
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