Individual
DIANE K GOSSETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10330 S ROBERTS RD, PALOS HILLS, IL 60465-1971
(708) 237-7200
Mailing address
346 S. CATHERINE AVENUE, LAGRANGE, IL 60525
(708) 482-7646
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070.002567
IL
Other
Enumeration date
12/22/2011
Last updated
12/22/2011
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