Individual
MR. REX T. GILLIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
2831 NEW HARTFORD RD, RIDGECREST MEDICAL PARK, OWENSBORO, KY 42303-1320
(270) 926-4100
(270) 684-4678
Mailing address
2831 NEW HARTFORD RD, RIDGECREST MEDICAL PARK, OWENSBORO, KY 42303-1320
(270) 926-4100
(270) 684-4678
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
006250
KY
Other
Enumeration date
08/09/2013
Last updated
08/09/2013
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