Individual
BRIDGET ANN GILBRETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1790 1ST AVE, KEYESPORT, IL 62253-2020
(618) 616-2211
Mailing address
1305 4TH ST, KEYESPORT, IL 62253-2100
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160004982
IL
Other
Enumeration date
02/09/2010
Last updated
05/18/2016
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