Individual
GILLIAN MACKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
2021 CONCERT DR, VIRGINIA BEACH, VA 23456-8082
(757) 668-2754
Mailing address
1104 COURAGE CT, VIRGINIA BEACH, VA 23451-5593
(804) 441-0207
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305215110
VA
Other
Enumeration date
10/22/2024
Last updated
10/22/2024
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