Individual
GAIL ANN VIRZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
601 LUTZ RD, BLOOMINGTON, IL 61704-8608
Mailing address
220 SHERWOOD WAY, BLOOMINGTON, IL 61701-3419
(309) 613-5933
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
10/19/2018
Last updated
10/19/2018
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