Individual
GINA ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
407 N LA GRANGE RD, LA GRANGE PARK, IL 60526-5623
(708) 482-9320
(708) 482-9760
Mailing address
407 N LA GRANGE RD, LA GRANGE PARK, IL 60526-5623
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070014581
IL
Other
Enumeration date
02/12/2007
Last updated
03/17/2018
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