Search › Georgia › 225100000X
Stayce Van Gorp, DPT
NPI 1053059485 · on the registry since 2022
Practice
- Address
- 23 Cornelia Ct
Dallas, GA 30157 - Phone
- (770) 713-2526
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-05-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia