Phomvansi Gamez, Sirivanh

Phomvansi Gamez, Sirivanh is an individual health care provider with primary practice located at 1340 Charles St Suite 100, Rockford IL 61104-2200. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Phomvansi Gamez, Sirivanh can be contacted via phone (815) 399-1975.

Contact Information

Primary practice address
1340 Charles St Suite 100 Rockford IL 61104-2200
Phone: (815) 399-1975
Fax: (815) 399-3207
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 070-015351 Illinois

Profile Details

NPI number 1114081205
LBN Legal business name Phomvansi Gamez, Sirivanh
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2006
Last updated Jul 5th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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