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Kelly M Gousset

Physical Therapy Assistant in Aurora, IL. Individual provider (NPI-1).

NPI number1194983007
StatusActive
Last updated in NPPESMay 28, 2008

Details

NPI
1194983007
Entity type
Individual (NPI-1)
Name
Kelly M Gousset
Sex
Female
Sole proprietor
Yes
Enumeration date
May 28, 2008
Last updated
May 28, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225200000X Physical Therapy Assistant160002729ILYes

Practice location

1509 Farnsworth
Aurora, IL 60505

Phone 630-585-5901

Mailing address

Po Box 2103
Naperville, IL 60567-2103

Phone 630-428-5850

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