Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. MARYCRIS MEDINA GANDIONCO, P.T.
ActiveMRS. MARYCRIS MEDINA GANDIONCO, P.T. is a Physical Therapy Assistant healthcare provider located in FORT LEONARD WOOD, Missouri. NPI 1003912007 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · FORT LEONARD WOOD, MO
Registration Details
- NPI Number
- 1003912007
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 16, 2006 (19.874067296237 yrs)
- Last Updated
- Jul 8, 2007
- License
-
023277 (NY)
Practice Information
- Address
-
126 MISSOURI AVEFORT LEONARD WOOD, MO, 654738952Browse MO providers · Browse ZIP 65473
- Phone
- 5735961707
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in FORT LEONARD WOOD, MO
| Name | Credential | NPI |
|---|---|---|
| BARRY DWAYNE WHITESIDE | PT | 1073556973 |
| MRS. CHRISTINE MARIE TITKO | MPT | 1447261763 |
| ANGELA RENEE DIEBAL-LEE | DPT, DSC, OCS, SCS | 1235296112 |
| MATTHEW SCOTT NEAL | DPT | 1831317072 |
| MS. DEIDRA MARIE EDWARDS | PT | 1386846772 |
| MICHAEL ANTHONY MORRIS | PT | 1831377290 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.