Individual
GINA T GUIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
2534 E LINCOLN HWY, NEW LENOX, IL 60451-9712
(815) 462-9420
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
05010764A
IN
225100000X
Physical Therapist
Primary
070019106
IL
Other
Enumeration date
08/10/2010
Last updated
02/28/2013
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