Individual
DR. GAVIN NICHOLAS GATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
11420 BLONDO ST STE 103, OMAHA, NE 68164-3858
(402) 509-5532
Mailing address
180 SPRING CT, OXFORD, GA 30054-3015
(678) 972-4243
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-8046
ID
Other
Enumeration date
02/25/2022
Last updated
02/25/2022
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