Gateway Rehabilitation Company, LLC

NPI #1093771883 in East Alton, Illinois

Provider Information

NPI Number: 1093771883
Entity Type: Organization
Organization Name: Gateway Rehabilitation Company, LLC
Primary Specialty: Physical Therapist
Enumeration Date: Apr 21, 2006
Last Updated: Jul 12, 2010

Practice Location

Address: 935 EAST AIRLINE DR
City: East Alton
State: Illinois
ZIP Code: 62024
Phone: (618) 258-9093

Authorized Official

Name: MR. LARRY D HAWKINS, LPT
Title: OWNER
Phone: (618) 258-9093

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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