Individual
GABRIELLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3296 EXECUTIVE DR UNIT 201, JOLIET, IL 60431-8501
(815) 207-4223
(815) 207-4643
Mailing address
900 RAND RD STE 300, DES PLAINES, IL 60016-2359
(847) 324-3976
(847) 929-1154
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160-006596
IL
Other
Enumeration date
07/14/2021
Last updated
07/14/2021
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