MR. Gustavo Vidal, PT
NPI #1184657298 in Wake Forest, North Carolina
Provider Information
- NPI Number
- 1184657298
- Entity Type
- Individual
- Name
- MR. Gustavo Vidal, PT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist
- Credential
- PT
- Enumeration Date
- Jul 9, 2006
- Last Updated
- Feb 19, 2024
Practice Location
- Address
- 123 CAPCOM AVE STE 2
- City
- Wake Forest
- State
- North Carolina
- ZIP Code
- 27587-6517
- Phone
- (919) 551-4142
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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