Individual
JULENNE HENRIQUEZ-GIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
202 W IRELAND RD STE 101A, SOUTH BEND, IN 46614
(574) 404-5069
(574) 309-9878
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
08/11/2018
Last updated
06/21/2024
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