MEDICARE: MONIQUE GALVEZ PT, DPT, GCS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	300373	CA

General Provider Information

NPI Number	:	1750014239
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MONIQUE GALVEZ PT, DPT, GCS

Provider Business Mailing Address
First Line	:	7252 ARCHIBALD AVE # 1197
Second Line	:
City	:	RANCHO CUCAMONGA
State	:	CA
Zip	:	91701-5017
Country	:	US
Telephone Number	:	909-781-4585
Fax Number	:

Provider Business Practice Location Address
First Line	:	7252 ARCHIBALD AVE # 1197
Second Line	:
City	:	RANCHO CUCAMONGA
State	:	CA
Zip	:	91701-5017
Country	:	US
Telephone Number	:	909-781-4585
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/02/2022
Last Update Date	:	05/10/2026

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