Individual
IZILDINHA R GONCALVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
6400 HIGHWAY 9, UNIT D, INMAN, SC 29349-6927
(864) 699-9441
(864) 699-9279
Mailing address
60 SHUFORD RD, COLUMBUS, NC 28722-7406
(828) 894-0277
(828) 894-0278
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3596
SC
Other
Enumeration date
07/19/2012
Last updated
05/16/2016
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