MR. Jan Clarence Gutierrez Dimla, PT

NPI #1215455027 in Danville, Illinois

Provider Information

NPI Number: 1215455027
Entity Type: Individual
Name: MR. Jan Clarence Gutierrez Dimla, PT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Aug 31, 2017
Last Updated: Aug 31, 2017

Practice Location

Address: 14792 CATLIN TILTON RD
City: Danville
State: Illinois
ZIP Code: 61834-5116
Phone: (217) 443-6430

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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