Individual
GEMMA FLETCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4950 ROUTE 173, POPLAR GROVE, IL 61065
(815) 703-7043
Mailing address
9309 EASTON VIEW LN, ROCKFORD, IL 61107-2937
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070016659
IL
Other
Enumeration date
11/21/2014
Last updated
11/21/2014
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