Individual
MR. DEVYN GILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
109 BRIDGE ST STE 300, DANVILLE, VA 24541-1222
(434) 793-4711
Mailing address
109 BRIDGE ST STE 300, DANVILLE, VA 24541-1222
(434) 793-4711
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306605715
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2306605715
VA STATE LICENSE
VA
Enumeration date
03/12/2021
Last updated
03/12/2021
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