Susan Gwillim, PT

NPI #1053410159 in Peoria, Illinois

Provider Information

NPI Number: 1053410159
Entity Type: Individual
Name: Susan Gwillim, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Sep 22, 2006
Last Updated: Sep 22, 2020

Practice Location

Address: 5401 N KNOXVILLE AVE
Address 2: SUITE 218
City: Peoria
State: Illinois
ZIP Code: 61614-5098
Phone: (309) 693-2244

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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