Individual ProviderGladys O. PaniamoganPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address601 N Boeke Rd, Evansville, IN 47711-5925(812) 477-1908PECOS EnrollmentBased on the most recent information from CMS, provider Gladys O. Paniamogan does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1538316633Provider TypeIndividualFull NamePaniamogan, Gladys O.CredentialRPTGenderFemaleSole ProprietorYesEnumeration Date8/20/2008Last Updated5/21/2021Contact InformationPractice LocationPractice Address601 N Boeke Rd, Evansville, IN 47711-5925Phone(812) 477-1908FaxUnlisted FaxMailing LocationMailing Address601 N Boeke Rd, Evansville, IN 47711-5925Phone(812) 477-1908FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense05007708AIndiana