Individual
JULIA GRACE GILLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1230 N FALL CREEK RD, WILSON, WY 83014-5058
(307) 699-7667
(307) 200-6597
Mailing address
PO BOX 729, WILSON, WY 83014-0729
(307) 699-7667
(307) 200-6597
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2069
WY
Other
Enumeration date
06/04/2021
Last updated
06/04/2021
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