Individual
MS. GLOEN B FABILA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
1750 N 4TH AVE APT 8, CANTON, IL 61520-1079
(309) 357-0985
Mailing address
1750 N 4TH AVE APT 8, CANTON, IL 61520-1079
(309) 357-0985
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
IL
Other
Enumeration date
08/01/2007
Last updated
08/01/2007
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