Ma Gina D Augusto

NPI #1164595872 in Antioch, Illinois

Provider Information

NPI Number: 1164595872
Entity Type: Individual
Name: Ma Gina D Augusto
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Nov 17, 2006
Last Updated: Jul 18, 2007

Practice Location

Address: 1010 SANDERLING CT
City: Antioch
State: Illinois
ZIP Code: 60002-6414
Phone: (847) 395-7973

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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