Individual
MRS. GILLIAN DEYOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
3665 E 11 MILE RD, SUITE B, WARREN, MI 48092-4300
(586) 755-4711
Mailing address
30704 DELTON ST, MADISON HEIGHTS, MI 48071-2109
(248) 585-7259
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
5501004151
MI
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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