Individual
GWEN O'CONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1209 21ST AVE, ROCK ISLAND, IL 61201-7900
(309) 786-9667
Mailing address
2826 FAIRHAVEN RD, DAVENPORT, IA 52803-2228
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
01/29/2013
Last updated
01/29/2013
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