Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. MICHAEL GAMBOA RIVERA, PHYSICAL THERAPIST
Active Sole ProprietorMR. MICHAEL GAMBOA RIVERA, PHYSICAL THERAPIST is a Physical Therapy Assistant healthcare provider located in MODESTO, California. NPI 1508142902 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · MODESTO, CA
Registration Details
- NPI Number
- 1508142902
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 29, 2011 (14.648049961516 yrs)
- Last Updated
- Jun 8, 2021
- License
-
41337 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2117 STARLIGHT DRMODESTO, CA, 953570890Browse CA providers · Browse ZIP 95357
- Phone
- 2172575283
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in MODESTO, CA
| Name | Credential | NPI |
|---|---|---|
| KAREN CHIYOKO KAJIOKA | PT | 1265423669 |
| STEPHEN MATTHEW WILLEY | PT | 1912998311 |
| ANTOINETTE MARIE COPE | PT | 1144201856 |
| LYLE MELVIN ANDERSEN | PT | 1265413918 |
| WINONA LOUISE GOWIN | PT | 1487630836 |
| DOUGLAS CHARLES CLAUSSEN | DPT | 1841268661 |
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.