Individual
JACK GERLITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
14302 WINTERVIEW PKWY, MIDLOTHIAN, VA 23113
(804) 601-6010
Mailing address
1311 MAMARONECK AVE STE 140, WHITE PLAINS, NY 10605-5224
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1347233
TX
225100000X
Physical Therapist
Primary
2305215270
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1347233
STATE LICENSE
TX
Enumeration date
07/23/2021
Last updated
07/10/2023
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