IndividualActive
Sirivanh Phomvansi Gamez, P.T.
NPI 1114081205 · Physical Therapist · Rockford, IL
Provider details
- NPI number
- 1114081205
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- P.T.
- Sex
- Female
- Sole proprietor
- No
- License
- 070-015351 (IL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1340 Charles St
Suite 100
Rockford, IL 61104-2200
Phone: (815) 399-1975
Fax: (815) 399-3207
Approximate (ZIP-level) locationGet directions
Mailing address
2096 Valencia Dr
Rockford, IL 61108-5620
Registry dates
- Enumerated
- 2006-12-21
- Last updated
- 2012-07-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.