Individual
JANICE M GOMOKE
Active
Individual
JANICE M GOMOKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305002436
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010208793
—
VA
05
—
1508887597
—
VA
01
—
192941
BCBS (PHYSICAL THERAPY)
VA
01
—
7899071
AETNA
VA
01
—
P00233936
MEDICARE RR
VA
01
—
P00871013
MEDICARE RAILROAD
VA
Enumeration date
07/22/2006
Last updated
04/16/2018
Update your record
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