Sirivanh Phomvansi Gamez in Rockford - Physical Therapist
Sirivanh Phomvansi Gamez - NPI 1114081205
Sirivanh Phomvansi Gamez is a Physical Therapist in Rockford, Illinois. Sirivanh Phomvansi Gamez practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Sirivanh Phomvansi Gamez is 1114081205. The last update date is 2012-07-05.
Sirivanh Phomvansi Gamez's current location address is 1340 Charles St, Rockford, Illinois. You can contact this provider via phone number 8153991975 and fax number 8153993207. The mailing address for Sirivanh Phomvansi Gamez is 1340 Charles St, Rockford, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sirivanh Phomvansi Gamez |
|---|---|
| Address | 1340 Charles St, Rockford, Illinois |
| Phone Number | 8153991975 |
| Fax Number | 8153993207 |
| Sole Proprietor | N |
| Credentials | P.T. |
NPI Number Detail
| NPI Number | 1114081205 |
|---|---|
| Provider Enumeration Date | 2006-12-21 |
| Last Updated Date | 2012-07-05 |
Provider Mailing Address Detail
| Address | 1340 Charles St |
|---|---|
| City | Rockford |
| State | Illinois (IL) |
| Post Code | 611042200 |
| Phone Number | 8153991975 |
| Fax Number | 8153993207 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | 070-015351 |
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Definition: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per |
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Post Comment/ Review Below
What is the unique identifier code issued to Sirivanh Phomvansi Gamez by the Centers for Medicare & Medicaid Services (CMS)?
The Sirivanh Phomvansi Gamez has been assigned the NPI (National Provider Identifier) 1114081205. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Sirivanh Phomvansi Gamez located?
The Sirivanh Phomvansi Gamez is located at 1340 Charles St, Rockford, IL 611042200.
What is Sirivanh Phomvansi Gamez's specialized field of practice, and what is the corresponding taxonomy classification code?
The Sirivanh Phomvansi Gamez's area of specialization is Physical Therapist, and the corresponding taxonomy code that categorizes this field of practice is 225100000X.
On what date did Sirivanh Phomvansi Gamez receive its 1114081205 assignment from the Centers for Medicare & Medicaid Services?
The Sirivanh Phomvansi Gamez was assigned its 1114081205 on 2006-12-21, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Sirivanh Phomvansi Gamez, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Sirivanh Phomvansi Gamez, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2012-07-05.
NPI Number: 1235130048
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