Individual
MARGARET C GAENZLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, PT
Contact information
Practice address
3001 EDWARDS MILL RD, 200, RALEIGH, NC 27612-5243
(919) 781-4060
(919) 781-5246
Mailing address
3001 EDWARDS MILL RD, 200, RALEIGH, NC 27612-5243
(919) 781-4060
(919) 781-5246
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
P13652
NC
225100000X
Physical Therapist
008409
CT
225100000X
Physical Therapist
2305005645
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1336389808
—
VA
01
—
192960
BCBS (PHYSICAL THERAPY)
VA
01
—
5332317
AETNA
VA
01
—
P00785164
RAILROAD MEDICARE
VA
Enumeration date
02/24/2009
Last updated
09/14/2015
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