Individual
KEVIN DAVID GASQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
354 COX CREEK PKWY STE 140, FLORENCE, AL 35630-2810
(256) 284-1039
(256) 284-1040
Mailing address
PO BOX 306393, NASHVILLE, TN 37230-6393
(615) 373-1350
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
AL6082627
AL
225100000X
Physical Therapist
Primary
PTH5539
AL
Other
Enumeration date
06/02/2009
Last updated
02/25/2022
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