# GATEWAY REHABILITATION COMPANY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093771883
- **Authorized official:** MR. LARRY D HAWKINS LPT (OWNER)
- **Authorized official phone:** (618) 258-9093

## Contact information

- **Practice address:** 935 EAST AIRLINE DR, EAST ALTON, IL 62024
- **Practice address phone:** (618) 258-9093
- **Practice address fax:** (618) 258-9097
- **Mailing address:** 935 EAST AIRLINE DR, EAST ALTON, IL 62024
- **Mailing address phone:** (618) 258-9093
- **Mailing address fax:** (618) 258-9097

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 04/21/2006
- **Last updated:** 07/12/2010