Individual
NATHAN GILLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12627 E CENTRAL AVE STE 308, WICHITA, KS 67206-2839
(316) 260-3311
Mailing address
12627 E CENTRAL AVE STE 308, WICHITA, KS 67206-2839
(316) 260-3311
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
08/15/2022
Last updated
08/15/2022
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