Individual
CAROLINE ANNE GACKENBACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
3009 BOARDWALK CT, GLENSHAW, PA 15116-2573
(224) 456-7418
Mailing address
3009 BOARDWALK CT, GLENSHAW, PA 15116-2573
(224) 456-7418
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
208692
AK
261QP2000X
Physical Therapy Clinic/Center
2305214918
VA
261QP2000X
Physical Therapy Clinic/Center
28915
MD
261QP2000X
Physical Therapy Clinic/Center
PT030169
PA
Other
Enumeration date
04/24/2022
Last updated
03/07/2025
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