Individual
GEWIRIA FADL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
3229 BROADWAY STE 112, GARY, IN 46409-1040
(219) 980-0167
(219) 980-0198
Mailing address
600 OAKMONT LN STE 600C, WESTMONT, IL 60559-5548
(630) 575-1980
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05013860A
IN
Other
Enumeration date
10/26/2020
Last updated
10/26/2020
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