Individual provider · Type 1 NPI

Mark Joseph Villanueva Gamboa

Physical Therapist · St. Johnsville, NY

NPI number 1619374980 Active

Practice location

7 Timmerman Ave
St. Johnsville, NY 13452-1017

Fax (518) 568-7505

Mailing address

7345 Woodland Drive
Indianapolis, IN 46278

Specialties and licenses

TaxonomyCodeLicense
Physical Therapist 225100000XNone listed
Physical Therapist Primary 225100000X10430 (CT)

Physical Therapist: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, r…

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About NPI 1619374980

Mark Joseph Villanueva Gamboa's National Provider Identifier is 1619374980, issued on Dec 2, 2014. The primary taxonomy on file is Physical Therapist (225100000X), and the practice location is in St. Johnsville, NY. The record was last updated on Jun 15, 2017.