Individual
CHRISTINE M GORBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, SCS, ATC
Contact information
Practice address
29 POPLAR HLS, HURRICANE, WV 25526-9103
(330) 221-2915
Mailing address
29 POPLAR HLS, HURRICANE, WV 25526-9103
(330) 221-2915
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT 37841
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
FK913Z
MEDICARE PTAN
—
01
—
PT 37841
CALIFORNIA STATE LICENSE
CA
Enumeration date
09/09/2011
Last updated
12/18/2012
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