Individual
DEBRA GILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2835 DUBLIN BLVD, COLORADO SPRINGS, CO 80918-1662
(719) 266-1788
(719) 264-7706
Mailing address
2835 DUBLIN BLVD, COLORADO SPRINGS, CO 80918-1662
(719) 533-1318
(719) 533-1319
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
RPT 2794
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8655740
—
CO
Enumeration date
06/06/2008
Last updated
09/10/2020
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