Jaclyn Gola, PT,DPT

NPI #1366790800 in Winfield, Illinois

Provider Information

NPI Number: 1366790800
Entity Type: Individual
Name: Jaclyn Gola, PT,DPT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: PT,DPT
Enumeration Date: Aug 15, 2012
Last Updated: Aug 15, 2012

Practice Location

Address: 25 N WINFIELD RD
City: Winfield
State: Illinois
ZIP Code: 60190
Phone: (630) 933-6293

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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