Individual
MR. ANTHONY W GESELL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1811 FOREST HILLS RD W, WILSON, NC 27893-3412
(252) 243-7400
(252) 243-3291
Mailing address
1703 WALLACE DR W, WILSON, NC 27893-2797
(252) 243-6386
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8288
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0777Y
BCBS GROUP NUMBER
NC
05
—
720777Y
—
NC
Enumeration date
06/01/2006
Last updated
07/09/2007
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