Provider Demographics
NPI:1538317805
Name:GOMEZ -ALDAY, DEBORAH ALIPIT (PHYSICAL THERAPIST)
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:ALIPIT
Last Name:GOMEZ -ALDAY
Suffix:
Gender:F
Credentials:PHYSICAL THERAPIST
Other - Prefix:
Other - First Name:DEBORAH
Other - Middle Name:ALIPIT
Other - Last Name:GOMEZ-ALDAY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHYSICAL THERAPIST
Mailing Address - Street 1:228 NE 21ST PL
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33909-2823
Mailing Address - Country:US
Mailing Address - Phone:239-772-7624
Mailing Address - Fax:239-772-7624
Practice Address - Street 1:228 NE 21ST PL
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33909-2823
Practice Address - Country:US
Practice Address - Phone:239-772-7624
Practice Address - Fax:239-772-7624
Is Sole Proprietor?:No
Enumeration Date:2008-08-28
Last Update Date:2008-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT9196225100000X, 2251G0304X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatrics
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist