Individual
MS. GINA M. TOTTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
3178 N BROADWAY ST, CHICAGO, IL 60657-4509
(773) 549-6400
Mailing address
3178 N BROADWAY ST, CHICAGO, IL 60657-4509
(773) 549-6400
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227 007756
IL
Other
Enumeration date
05/10/2007
Last updated
03/07/2012
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