Individual
JILL GILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
1710 W 131ST ST, CARMEL, IN 46032-8236
(317) 815-9907
Mailing address
1710 W 131ST ST, CARMEL, IN 46032-8236
(317) 815-9907
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06001771A
IN
Other
Enumeration date
03/28/2007
Last updated
07/08/2007
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