Individual
MR. ROEL GONZAGA GICARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPT
Contact information
Practice address
214 W 5TH ST, JOPLIN, MO 64801-2501
(417) 782-2917
(417) 782-7038
Mailing address
2001 CONNECTICUT AVE, APARTMENT D3, JOPLIN, MO 64804-1108
(417) 782-2917
(417) 782-7038
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070.017437
IL
Other
Enumeration date
02/17/2010
Last updated
02/17/2010
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