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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SIRIVANH PHOMVANSI GAMEZ, P.T.

Active

SIRIVANH PHOMVANSI GAMEZ, P.T. is a Physical Therapy Assistant healthcare provider located in ROCKFORD, Illinois. NPI 1114081205 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · ROCKFORD, IL

Registration Details

NPI Number
1114081205
Provider Type
Individual
Gender
Female
NPI Issued
Dec 21, 2006 (19.660252168548 yrs)
Last Updated
Jul 5, 2012
License
070-015351 (IL)

Practice Information

Address
1340 CHARLES ST
SUITE 100
ROCKFORD, IL, 611042200
Browse IL providers · Browse ZIP 61104
Phone
8153991975
Fax
8153993207
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in ROCKFORD, IL

Name Credential NPI
MONICA HALL PT 1144220211
BERNARD A YAUN PT 1194712489
MS. KAREN MARIE DOWELL PT 1477522878
MS. REBEKAH D MEYERS PT 1003875428
JONATHAN E GALLAS 1396770079
RACHEL K VIEL PT 1841208485
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.