Individual
GABRIELLE FAITH BIRT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5255 E MARYLAND ST, DECATUR, IL 62521-9705
(217) 864-1264
Mailing address
PO BOX 416501, BOSTON, MA 02241-7594
(914) 294-4050
(631) 760-8306
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070029294
IL
Other
Enumeration date
06/23/2025
Last updated
03/26/2026
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