Individual
HEATHER GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 LINCOLN DR, SOUTH CHARLESTON, WV 25309-2304
(304) 766-1722
(304) 766-8991
Mailing address
957 MATHEWS AVE, CHARLESTON, WV 25302-2722
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
003218
WV
Other
Enumeration date
08/30/2013
Last updated
08/30/2013
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