LISA D GUMMERMAN

PEORIA, IL
NPI1366413551
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IL  070016081)
Enumeration Date2006-01-27
Last Update Date2008-01-09
Business Address
-- LISA D GUMMERMAN PT
507 E ARMSTRONG AVE
PEORIA, IL 61603-3201
Phone number: 309-686-1177
Mailing Address
-- LISA D GUMMERMAN PT
27 PENDLETON WAY
BLOOMINGTON, IL 61704-6243
Phone number: 217-622-3316