Individual
ANNIE T. GILLESPIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
304 N. RICHARDSON AVE., ROSWELL, NM 88201-4639
(575) 578-0069
(575) 578-0124
Mailing address
304 N. RICHARDSON AVE., ROSWELL, NM 88201-4639
(575) 578-0069
(575) 578-0124
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT2479
NM
Other
Enumeration date
11/13/2019
Last updated
11/13/2019
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