Individual
MISS ROBYN MARIE GANSEMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
532 GREEN PARK AVE APT 6, COLONA, IL 61241-9633
(309) 796-3970
(309) 796-3972
Mailing address
532 GREEN PARK AVE APT 6, COLONA, IL 61241-9633
(309) 796-3970
(309) 796-3972
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227-009577
IL
Other
Enumeration date
03/19/2009
Last updated
03/19/2009
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