Individual
MR. GERALD NASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPT
Contact information
Practice address
51681 HUNTINGTON RD, LA PINE, OR 97739-9626
(541) 536-6122
(541) 536-6123
Mailing address
PO BOX 1888, LA PINE, OR 97739-1888
(541) 536-6122
(541) 536-6123
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
60393
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60393
OREGON PHYSICAL THERAPY LICENSE
OR
Enumeration date
10/17/2006
Last updated
10/10/2013
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