Individual
MRS. GWENDOLYN BELISLE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
825 W WASHINGTON ST, EUFAULA, AL 36027-1847
(334) 688-7155
(334) 616-7615
Mailing address
PO BOX 241686, MONTGOMERY, AL 36124-1686
(334) 396-2115
(334) 396-2115
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH4666
AL
Other
Enumeration date
05/22/2006
Last updated
07/08/2007
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