ALAN GIMMY

MARION, IL
NPI1083283311
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IL  160005863)
Enumeration Date2021-06-21
Last Update Date2021-06-21
Business Address
ALAN GIMMY PTA
2401 W MAIN ST
MARION, IL 62959-1188
Phone number: 618-751-0066
Mailing Address
ALAN GIMMY PTA
6759 DAY RD
CARBONDALE, IL 62902-0497
Phone number: 618-751-0066
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