Mr. Michael Gamboa Rivera, PHYSICALTHERAPIST
Mr. Michael Gamboa Rivera, PHYSICALTHERAPIST is a Physical Therapist in Modesto, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2011
Practice location Address checks out
2117 Starlight DrModesto, CA 95357-0890
Phone: (217) 257-5283
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X · Licence 41337 (CA) |
|---|
Record details
| NPI number | 1508142902 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PHYSICALTHERAPIST |
| Sole proprietor | Yes |
| NPI enumerated | October 29, 2011 |
| Last updated in NPPES | June 8, 2021 |
| Certification date | June 8, 2021 |
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