MR. Craig M Gorst, P.T.

NPI #1396967501 in Weyauwega, Wisconsin

Provider Information

NPI Number: 1396967501
Entity Type: Individual
Name: MR. Craig M Gorst, P.T.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: P.T.
Enumeration Date: May 3, 2007
Last Updated: Nov 9, 2007

Practice Location

Address: 717 E ALFRED ST
City: Weyauwega
State: Wisconsin
ZIP Code: 54983-9024
Phone: (920) 867-3121

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary
Physical Therapist - Geriatrics — Geriatrics	2251G0304X

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