Doctor Name: | CHRISTINE BERTAUD GAIDEN |
NPI Number: | 1225048028 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MPT |
License Number: | 070-010604 |
Business Practice Address: | 801 S Milwaukee Ave Ste. 283 Libertyville, IL - 600483204 |
Business Phone Number: | 8475734390 |
Business Fax Number: | 8475496920 |
Mailing Address: | 613 Wrightwood Ter, LIBERTYVILLE |
State: | IL |
Postal Code: | 600483363 |
Phone Number: | 8473673031 |
Fax Number: | |
NPI Enumeration Date: | 08/08/2006 |
NPI Last Update Date: | 06/02/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 070-010604 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |