Individual
JACK GILBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
31125 DEQUINDRE RD, MADISON HEIGHTS, MI 48071-1566
(586) 582-8668
Mailing address
31125 DEQUINDRE RD, MADISON HEIGHTS, MI 48071-1566
(586) 582-8668
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501002378
MI
Other
Enumeration date
12/10/2013
Last updated
12/10/2013
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