Individual
MR. WILLIAM L GILLOCK JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
1801 HIGHWAY 99 N, SUITE 1, ASHLAND, OR 97520-9649
(541) 482-9051
Mailing address
1801 HIGHWAY 99 N, SUITE 1, ASHLAND, OR 97520-9649
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4808
OR
Other
Enumeration date
01/04/2007
Last updated
07/08/2007
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