| Doctor Name: | GARY STEVEN HAMRE |
| NPI Number: | 1104913755 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | P.T. |
| License Number: | 1086478 |
| Business Practice Address: | 970 Coronado Blvd Universal City, TX - 781483228 |
| Business Phone Number: | 2106592154 |
| Business Fax Number: | 2106592405 |
| Mailing Address: | 970 Coronado Blvd, UNIVERSAL CITY |
| State: | TX |
| Postal Code: | 781483228 |
| Phone Number: | 2106592154 |
| Fax Number: | 2106592405 |
| NPI Enumeration Date: | 10/06/2006 |
| NPI Last Update Date: | 10/29/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251X0800X |
| License Number: | 1086478 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Orthopedic |
| Taxonomy Definition: | |