Provider Demographics
NPI:1780787341
Name:GAHMAN, RICHARD DEAN (MPT)
Entity type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:DEAN
Last Name:GAHMAN
Suffix:
Gender:M
Credentials:MPT
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2209 QUARRY DR
Mailing Address - Street 2:SUITE B-23
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19609-1155
Mailing Address - Country:US
Mailing Address - Phone:610-678-9949
Mailing Address - Fax:610-678-9636
Practice Address - Street 1:2209 QUARRY DR
Practice Address - Street 2:SUITE B-23
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19609-1155
Practice Address - Country:US
Practice Address - Phone:610-678-9949
Practice Address - Fax:610-678-9636
Is Sole Proprietor?:No
Enumeration Date:2006-09-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT007090L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA50000841OtherCAPITAL BLUE CROSS
PA1365175OtherHIGHMARK BLUE SHIELD
PA1365175OtherHIGHMARK BLUE SHIELD