Provider Demographics
NPI:1497801799
Name:MUSOLINO, GINA MARIA (PT, DPT, MSED, EDD)
Entity type:Individual
Prefix:DR
First Name:GINA
Middle Name:MARIA
Last Name:MUSOLINO
Suffix:
Gender:F
Credentials:PT, DPT, MSED, EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 140103
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32614-0103
Mailing Address - Country:US
Mailing Address - Phone:801-259-7007
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 140103
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32614-0103
Practice Address - Country:US
Practice Address - Phone:801-259-7007
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-27
Last Update Date:2025-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT51357272401225100000X
225100000X
FL7935225100000X
IL070-005373225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist