Individual
GINA MARIE SEMENTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
854 ROOSEVELT RD UNIT E10, GLEN ELLYN, IL 60137-6057
(630) 469-9200
Mailing address
1860 PAYSPHERE CIR, CHICAGO, IL 60674-6057
(630) 469-2000
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070024759
IL
Other
Enumeration date
08/09/2019
Last updated
09/13/2019
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