MR. Gary Gummerman

NPI #1891987988 in Springfield, Illinois

Provider Information

NPI Number: 1891987988
Entity Type: Individual
Name: MR. Gary Gummerman
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Aug 13, 2007
Last Updated: Sep 10, 2007

Practice Location

Address: 320 E CARPENTER ST
Address 2: SUITE 1-B
City: Springfield
State: Illinois
ZIP Code: 62702-5185
Phone: (217) 744-8000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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