Individual
GILLIAN SUTTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
24 HOSPITAL LN, CALAIS, ME 04619-1329
(207) 454-2544
Mailing address
34645 2800 NORTH AVE, LA MOILLE, IL 61330-9358
(815) 501-1393
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070.027819
IL
225100000X
Physical Therapist
305707
CA
225100000X
Physical Therapist
PT6729
ME
225100000X
Physical Therapist
PTL.0019495
CO
Other
Enumeration date
03/05/2024
Last updated
03/05/2024
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