| Doctor Name: | IZILDINHA R GONCALVES |
| NPI Number: | 1578818183 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT |
| License Number: | 3596 |
| Business Practice Address: | 6400 Highway 9 Unit D Inman, SC - 293496927 |
| Business Phone Number: | 8646999441 |
| Business Fax Number: | 8646999279 |
| Mailing Address: | 60 Shuford Rd, COLUMBUS |
| State: | NC |
| Postal Code: | 287227406 |
| Phone Number: | 8288940277 |
| Fax Number: | 8288940278 |
| NPI Enumeration Date: | 07/19/2012 |
| NPI Last Update Date: | 05/16/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 3596 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SC |
| 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 |