Individual
BRYAN GILOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2617 ZAK LN, GREEN BAY, WI 54304-1630
(480) 650-6846
Mailing address
2617 ZAK LN, GREEN BAY, WI 54304-1630
(480) 650-6846
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2432
WI
Other
Enumeration date
02/25/2017
Last updated
02/25/2017
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