Individual
DEANNA GILLESPIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4310 LONDONDERRY RD, 2ND FL, HARRISBURG, PA 17109-5300
(717) 657-7520
(717) 657-7505
Mailing address
118 WASHINGTON ST, HARRISBURG, PA 17104-1677
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT005904L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT005904L
LICENSE
PA
Enumeration date
07/10/2006
Last updated
10/09/2008
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