MR. GUSTAVO VIDAL, PT

Specialist

Active Individual
NPI: 1184657298

Practice Address

123 CAPCOM AVE STE 2
Wake Forest, NC 27587

Phone: (919) 551-4142

Specialties

Specialty Code Primary License
Specialist 174400000X Yes 8191 (NC)

Frequently Asked Questions

NPI 1184657298 is the National Provider Identifier for MR. GUSTAVO VIDAL, PT, a Specialist provider located in Wake Forest, NC. This NPI was enumerated on July 9, 2006.
MR. GUSTAVO VIDAL, PT practices at 123 CAPCOM AVE STE 2, Wake Forest, NC 27587.

Quick Facts

NPI
1184657298
Type
Individual
Enumerated
Jul 9, 2006
Last Updated
Feb 19, 2024

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