Individual
KENT GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1420 KENSINGTON RD, OAK BROOK, IL 60523-2143
(630) 427-4192
Mailing address
1420 KENSINGTON RD, OAK BROOK, IL 60523-2143
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06004864A
IN
Other
Enumeration date
07/31/2014
Last updated
07/31/2014
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