Individual
MR. GARY DREW GEMLICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
161 BAKERS RIDGE RD, MORGANTOWN, WV 26508-1459
(304) 285-0692
Mailing address
403 VILLAGE DR, FAIRMONT, WV 26554-7974
(304) 692-8074
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
001430
WV
Other
Enumeration date
06/02/2009
Last updated
06/02/2009
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