Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251X0800X | Physical Therapist - Orthopedic | 070013601 | IL |
NPI | 1063649028 |
---|---|
Provider Name | Mrs. Gina Marie Finney |
First Address | Orland Park, IL 60467-9435 |
Second Address | Orland Park, IL 60467-9435 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/06/2009 |
Last Update Date | 17/06/2009 |