Individual
MR. GILBERT FRANCIS PORSOVIGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR / L
Contact information
Practice address
7310 ASHBROOK LN, PLAINFIELD, IL 60586-5647
(815) 254-8392
Mailing address
7310 ASHBROOK LN, PLAINFIELD, IL 60586-5647
(815) 254-8392
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056003917
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
056003917
OTR / L
IL
Enumeration date
04/01/2009
Last updated
04/01/2009
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