Rachel Y Gonsalves PT, MSPT

NPI 1134200850 - Physical Therapist - 225100000X

NPI Details
NPI 1134200850
Gender Female
Enumeration Date 10/18/2006
Last Updated 09/14/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
2110 FOX DR
CHAMPAIGN IL, 61820-7553, US
Phone (217) 366-1323
Fax (217) 366-6106
Business Location
CHAMPAIGN IL, 61820-3909, US
Phone (217) 366-1326
Fax (217) 366-6106
Taxonomy Code 225100000X
License State Illinois
License Number 070-012116
Remove 1134200850 NPI Number

According to our database, Rachel Y Gonsalves PT, MSPT NPI is 1134200850, taxonomy code is 225100000X and license number is 070-012116, license state is located at Illinois. Rachel Y Gonsalves PT, MSPT physically located at 2110 Fox Dr, Champaign IL, 61820-7553. NPI Number Rachel Y Gonsalves PT, MSPT has the Individual type.

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1134200850 NPI number is provided on an as is basis without warranty of any kind. 1134200850 is maintained by the National Plan & Provider Enumeration System. The contents of Rachel Y Gonsalves PT, MSPT are for informational purposes only.