Individual
GERARD LABLUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
3000 N MAIN ST UNIT A, EAST PEORIA, IL 61611-1713
(309) 674-7874
Mailing address
1702 W BAYWOOD AVE, PEORIA, IL 61614-5722
(916) 226-9266
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070.027475
IL
Other
Enumeration date
07/25/2023
Last updated
07/18/2024
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