Individual
MARY KATE GILDEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1000 MAPLEWOOD DR, BRIDGEPORT, WV 26330-9115
(304) 842-4135
Mailing address
1000 MAPLEWOOD DR, BRIDGEPORT, WV 26330-9115
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
003226
WV
Other
Enumeration date
10/01/2013
Last updated
10/01/2013
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