Gina the Pt LLC

NPI #1245336817 in Vail, Colorado

Provider Information

NPI Number: 1245336817
Entity Type: Organization
Organization Name: Gina the Pt LLC
Primary Specialty: Physical Therapist
Enumeration Date: Sep 14, 2006
Last Updated: Oct 2, 2007

Practice Location

Address: 5177 BLACK GORE DR
Address 2: UNIT B1
City: Vail
State: Colorado
ZIP Code: 81657-5273
Phone: (970) 688-1433

Authorized Official

Name: GINA JELACIC, MPT
Title: PHYSICAL THERAPIST
Phone: (970) 688-1433

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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