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Individual

CAROLINE ANNE GACKENBACH

Active
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Individual

CAROLINE ANNE GACKENBACH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DPT

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
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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