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Individual

CONNIE M GILLESPIE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
212 HOSPITAL DR, SUITE B, FAIRHOPE, AL 36532-2058
(251) 279-1640
Mailing address
212 HOSPITAL DR, SUITE B, FAIRHOPE, AL 36532-2058

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2167
AL

Other

Enumeration date
04/13/2011
Last updated
04/13/2011
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