Individual
GAURI HEMGUDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSCPT
Contact information
Practice address
7215 N ROCKVALE DR, #304, PEORIA, IL 61614-1085
(309) 265-3108
Mailing address
7215 N ROCKVALE DR, #304, PEORIA, IL 61614-1085
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070019872
IL
Other
Enumeration date
03/13/2017
Last updated
03/13/2017
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