GABRIELLE FAITH BIRT
Individual Provider (NPI-1)
Active
Physical Therapist
Provider Information
- NPI Number
1932096930- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 5255 E MARYLAND ST, DECATUR, IL, 625219705
- Phone
- (217) 864-1264
Specialties & Taxonomies
Physical Therapist
Primary License: IL #070029294