Individual
BORIS GIGOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
5700 S 108TH ST, HALES CORNERS, WI 53130-1911
(800) 974-4378
(630) 515-1536
Mailing address
24014 W RENWICK RD UNIT 206, PLAINFIELD, IL 60544-8711
(800) 974-4378
(630) 515-1536
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
16405-24
WI
Other
Enumeration date
06/19/2023
Last updated
06/19/2023
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