GAIL RENEE JOHNSON

SPRINGFIELD, IL
NPI1588782445
Former NameGAIL RENEE HEUSCHOBER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IL  070.015476)
Enumeration Date2007-03-27
Last Update Date2009-12-30
Business Address
-- GAIL RENEE JOHNSON P.T.
1301 S KOKE MILL RD
SPRINGFIELD, IL 62711-9252
Phone number: 217-547-9108
Mailing Address
-- GAIL RENEE JOHNSON P.T.
PO BOX 9469
SPRINGFIELD, IL 62791-9469
Phone number: 217-547-9108
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