| Doctor Name: | MR. VINCENT A. GONSALVES |
| NPI Number: | 1285808303 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT |
| License Number: | 9609-024 |
| Business Practice Address: | 9445 Sw Locust St Work & Wellness Tigard, OR - 972236634 |
| Business Phone Number: | 5035958806 |
| Business Fax Number: | |
| Mailing Address: | 9445 Sw Locust St, Work & Wellness TIGARD |
| State: | OR |
| Postal Code: | 972236634 |
| Phone Number: | 5035958806 |
| Fax Number: | |
| NPI Enumeration Date: | 04/18/2008 |
| NPI Last Update Date: | 08/18/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 9609-024 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WI |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |