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Individual

DOMINIQUE L GILLESPIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
2140 WARRENSVILLE RD, MONTOURSVILLE, PA 17754-9621
(570) 433-3161
(570) 435-8718
Mailing address
2140 WARRENSVILLE RD, MONTOURSVILLE, PA 17754-9621
(570) 433-3161
(570) 435-8718

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Enumeration date
04/18/2019
Last updated
04/18/2019
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