Provider Demographics
NPI:1063743789
Name:GORZEK, CARRIE CAY (PT)
Entity type:Individual
Prefix:MRS
First Name:CARRIE
Middle Name:CAY
Last Name:GORZEK
Suffix:
Gender:F
Credentials:PT
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Mailing Address - Street 1:2025 EAST RIVER PARKWAY
Mailing Address - Street 2:SHRINERS HOSPITAL
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55414-3604
Mailing Address - Country:US
Mailing Address - Phone:612-596-6216
Mailing Address - Fax:612-339-5954
Practice Address - Street 1:2025 EAST RIVER PARKWAY
Practice Address - Street 2:SHRINERS HOSPITAL
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55414-3604
Practice Address - Country:US
Practice Address - Phone:612-596-6216
Practice Address - Fax:612-339-5954
Is Sole Proprietor?:No
Enumeration Date:2010-01-20
Last Update Date:2010-01-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MN80362251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics