Provider Demographics
NPI:1275185456
Name:GAMWELL, CAROLINE (DPT)
Entity Type:Individual
Prefix:DR
First Name:CAROLINE
Middle Name:
Last Name:GAMWELL
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13035 E BETHANY PL
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014-3440
Mailing Address - Country:US
Mailing Address - Phone:920-268-5097
Mailing Address - Fax:
Practice Address - Street 1:1411 S POTOMAC ST STE 350
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80012-4543
Practice Address - Country:US
Practice Address - Phone:303-671-2134
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-09
Last Update Date:2019-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPTL.00163612251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic