Individual provider · Type 1 NPI
Gustavo Vidal, PT
Specialist · Wake Forest, NC
NPI number
1184657298
Active
Practice location
123 Capcom Ave Ste 2
Wake Forest, NC 27587-6517
Fax (919) 694-6417
Mailing address
1333 Litchborough Way
Wake Forest, NC 27587-3612
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 8191 (NC) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
3 other providers at this address
Other specialist providers in Wake Forest
About NPI 1184657298
Gustavo Vidal, PT's National Provider Identifier is 1184657298, issued on Jul 9, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Wake Forest, NC. The record was last updated on Feb 19, 2024.