Individual
BRYAN CUDAL GABRIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
3233 W ADDISON ST, CHICAGO, IL 60618-4328
(773) 478-0496
Mailing address
5316 W CARMEN AVE, CHICAGO, IL 60630-2224
(773) 344-8006
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070026055
IL
Other
Enumeration date
08/19/2021
Last updated
08/19/2021
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