Individual
JOSEPH GILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
186 W. BATH RD, CUYAHOGA FALLS, OH 44223
(330) 922-9911
Mailing address
2615 BLAKE AVE NW, APT. 3, CANTON, OH 44718
(330) 881-7312
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA.08648
OH
Other
Enumeration date
08/06/2014
Last updated
08/06/2014
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