Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225100000X | Physical Therapist | IL | |
N | 2251N0400X | Physical Therapist - Neurology | IL |
NPI | 1033243506 |
---|---|
Provider Name | Margaret T Smith Gauthier |
First Address | Elmwood Park, IL 60707-2039 |
Second Address | Chicago, IL 60640-5255 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/03/2007 |
Last Update Date | 08/07/2007 |