Whalio Doctors

NPI 1003027244

Jacqueline Gomes, PT

Practitioner Physical Therapist Du Quoin, IL

Practice location

Address
755 N Lake Dr, Du Quoin, IL 62832-2451
Phone
(618) 542-3386
Fax
(618) 542-3386

Registered specialties

Physical Therapist Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 070-008468 (IL)

Registry record

NPI
1003027244
Entity type
Individual
Sex (as registered)
Female
NPI issued
26 May 2007
Record last updated
15 Mar 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.