MRS. Marycris Medina Gandionco, P.T.

NPI #1003912007 in Fort Leonard Wood, Missouri

Provider Information

NPI Number: 1003912007
Entity Type: Individual
Name: MRS. Marycris Medina Gandionco, P.T.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: P.T.
Enumeration Date: Sep 16, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 126 MISSOURI AVE
City: Fort Leonard Wood
State: Missouri
ZIP Code: 65473-8952
Phone: (573) 596-1707

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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