SearchIllinois2255A2300X

Gina Wiesbrock, ATC

NPI 1033241807 · on the registry since 2007 · sole proprietor

Practice

Address
1627 4th St
Peru, IL 61354
Phone
(815) 228-7939
Organisation at this address
City Center Rehabilitation West - Inc.
City Center Physical Therapy - Peru, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
9

Registry record

Primary taxonomy
2255A2300X
2255A2300X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois