Individual
GABRIELLE MARIE THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1206 E 9TH ST, LOCKPORT, IL 60441-2404
(630) 967-2000
Mailing address
1206 E 9TH ST, LOCKPORT, IL 60441-2404
(630) 967-2000
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160010206
IL
Other
Enumeration date
08/19/2024
Last updated
08/19/2024
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