Individual
MRS. GLORIA CRENSHAW GASKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
113 MYRTLEWOOD DR, GUYTON, GA 31312-6811
(912) 728-3370
Mailing address
113 MYRTLEWOOD DR, GUYTON, GA 31312-6811
(912) 728-3370
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT003068
GA
Other
Enumeration date
06/18/2014
Last updated
06/18/2014
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