Gateway Physical Therapy, LLC

NPI #1962724864 in Sycamore, Illinois

Provider Information

NPI Number: 1962724864
Entity Type: Organization
Organization Name: Gateway Physical Therapy, LLC
Primary Specialty: Physical Therapist
Enumeration Date: Feb 18, 2010
Last Updated: Feb 18, 2010

Practice Location

Address: 2560 HAUSER ROSS DR
Address 2: SUITE 400
City: Sycamore
State: Illinois
ZIP Code: 60178-3150
Phone: (815) 991-2021

Authorized Official

Name: TINA L STARKWEATHER, DPM
Title: MANAGING MEMBER
Phone: (815) 991-2021

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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