| Doctor Name: | GEMMARUTH R SAN PEDRO |
| NPI Number: | 1750507174 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | P.T. |
| License Number: | 1084747 |
| Business Practice Address: | 1421 N Col Rowe Blvd Ste E Mcallen, TX - 785012304 |
| Business Phone Number: | 9569721638 |
| Business Fax Number: | |
| Mailing Address: | 4508 Laurel Ave, MCALLEN |
| State: | TX |
| Postal Code: | 785013759 |
| Phone Number: | 9565340700 |
| Fax Number: | |
| NPI Enumeration Date: | 04/17/2007 |
| NPI Last Update Date: | 03/23/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 1084747 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| 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 |