Provider Demographics
NPI:1144575275
Name:GUNDLING, COLIN (DPT)
Entity Type:Individual
Prefix:DR
First Name:COLIN
Middle Name:
Last Name:GUNDLING
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:324 RODI RD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15235-3318
Mailing Address - Country:US
Mailing Address - Phone:412-242-7880
Mailing Address - Fax:412-242-6040
Practice Address - Street 1:4262 OLD WILLIAM PENN HWY
Practice Address - Street 2:
Practice Address - City:MURRYSVILLE
Practice Address - State:PA
Practice Address - Zip Code:15668-1953
Practice Address - Country:US
Practice Address - Phone:724-387-1000
Practice Address - Fax:724-387-1011
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-15
Last Update Date:2020-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT022173225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist