Gabriela Miranda

NPI #1205540838 in Grayslake, Illinois

Provider Information

NPI Number: 1205540838
Entity Type: Individual
Name: Gabriela Miranda
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Jan 9, 2023
Last Updated: Jan 9, 2023

Practice Location

Address: 1275 E BELVIDERE RD STE 150
City: Grayslake
State: Illinois
ZIP Code: 60030-2083
Phone: (847) 735-0828

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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