Qiana D Goosby

NPI 1225393440 - Physical Therapist - 225100000X

NPI Details
NPI 1225393440
Gender Female
Enumeration Date 07/13/2012
Last Updated 07/13/2012
Entity Type Individual
Active Over 5 years ago
Practice Location
KANKAKEE IL, 60901-3454, US
Phone (815) 935-7496
Fax (815) 935-7860
Business Location
1235 N 12000E RD
MOMENCE IL, 60954-3889, US
Phone (815) 472-6358
Taxonomy Code 225100000X
License State Illinois
License Number 070014110
Remove 1225393440 NPI Number

According to our database, Ms. Qiana D Goosby NPI is 1225393440, taxonomy code is 225100000X and license number is 070014110, license state is located at Illinois. Qiana D Goosby physically located at 300 S Wall St, Kankakee IL, 60901-3454. NPI Number Qiana D Goosby has the Individual type.

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1225393440 NPI number is provided on an as is basis without warranty of any kind. 1225393440 is maintained by the National Plan & Provider Enumeration System. The contents of Qiana D Goosby are for informational purposes only.