Gandionco, Marycris Medina

Gandionco, Marycris Medina is an individual health care provider with primary practice located at 126 Missouri Ave , Fort Leonard Wood MO 65473-8952. 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. Gandionco, Marycris Medina can be contacted via phone (573) 596-1707.

Contact Information

Primary practice address
126 Missouri Ave Fort Leonard Wood MO 65473-8952
Phone: (573) 596-1707
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 023277 New York

Profile Details

NPI number 1003912007
LBN Legal business name Gandionco, Marycris Medina
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2006
Last updated Jul 8th, 2007 - about 18 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.

Request for update

Popular Providers