Provider Demographics
NPI:1043385222
Name:GANSMAN, WHITNEY ROBERTS (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:WHITNEY
Middle Name:ROBERTS
Last Name:GANSMAN
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8861 BOYLSTON RD
Mailing Address - Street 2:
Mailing Address - City:COLFAX
Mailing Address - State:NC
Mailing Address - Zip Code:27235-9735
Mailing Address - Country:US
Mailing Address - Phone:336-993-3228
Mailing Address - Fax:
Practice Address - Street 1:8861 BOYLSTON RD
Practice Address - Street 2:
Practice Address - City:COLFAX
Practice Address - State:NC
Practice Address - Zip Code:27235-9735
Practice Address - Country:US
Practice Address - Phone:336-993-3228
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9335225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist