Individual
GABRIEL S HOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3289 COURT ST, PEKIN, IL 61554-6208
(309) 650-1361
Mailing address
2122 YORK RD STE 300, OAK BROOK, IL 60523-1925
(630) 575-6200
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070028689
IL
Other
Enumeration date
05/02/2024
Last updated
09/13/2024
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