Individual
GLADYS O. PANIAMOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
601 N BOEKE RD, EVANSVILLE, IN 47711-5925
(812) 477-1908
Mailing address
601 N BOEKE RD, EVANSVILLE, IN 47711-5925
(812) 477-1908
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05007708A
IN
Other
Enumeration date
08/20/2008
Last updated
05/21/2021
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