Provider Demographics
NPI:1407894249
Name:GAUNYA, STEVEN T (PT)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:T
Last Name:GAUNYA
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:193 WHITES PATH
Mailing Address - Street 2:
Mailing Address - City:S YARMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02664-1217
Mailing Address - Country:US
Mailing Address - Phone:508-945-5837
Mailing Address - Fax:
Practice Address - Street 1:193 WHITES PATH
Practice Address - Street 2:
Practice Address - City:S YARMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02664-1217
Practice Address - Country:US
Practice Address - Phone:508-398-6477
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-03
Last Update Date:2007-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10076225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0709018Medicaid
MAY68418OtherBCBS
MA0709018Medicaid