Basic Information
| Provider Information | |||||||||
| NPI: | 1972553725 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | GOHL | ||||||||
| FirstName: | ERIKA | ||||||||
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| Credential: | PT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2874 N CARSON ST | ||||||||
| Address2: | SUITE 100 | ||||||||
| City: | CARSON CITY | ||||||||
| State: | NV | ||||||||
| PostalCode: | 897060177 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7758834161 | ||||||||
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| Practice Location | |||||||||
| Address1: | 394 S GREEN VALLEY RD | ||||||||
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| City: | WATSONVILLE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 950763099 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8317869000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 05/11/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | X | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | PT25903 | CA | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.