Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251X0800X | Physical Therapist - Orthopedic | 25838 | MD |
NPI | 1003273723 |
---|---|
Provider Name | Morgane Caroline Gay |
First Address | Bethesda, MD 20817-1841 |
Second Address | Bethesda, MD 20817-1841 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/01/2016 |
Last Update Date | 26/01/2016 |