Emily Ann Van Gorp, PT

NPI #1194800102 in Fairbanks, Alaska

Provider Information

NPI Number: 1194800102
Entity Type: Individual
Name: Emily Ann Van Gorp, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Oct 26, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 751 OLD RICHARDSON HWY
Address 2: # 202
City: Fairbanks
State: Alaska
ZIP Code: 99701
Phone: (907) 455-4401

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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