Individual
GENE GILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
205 ARMSTRONG ST, CENTREVILLE, MD 21617-2125
(410) 758-2323
Mailing address
305 WHITEHOUSE DR, GRASONVILLE, MD 21638-1156
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
22012
MD
Other
Enumeration date
04/09/2015
Last updated
04/09/2015
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