Individual
DEBORAH J GULLIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, LAT, ATC
Contact information
Practice address
3308 W EDGEWOOD DR, JEFFERSON CITY, MO 65109-6891
(573) 638-3400
(573) 638-3405
Mailing address
2622 MEADOW VIEW DR, JEFFERSON CITY, MO 65109-2129
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
002246
MO
2255A2300X
Athletic Trainer
Primary
00193
MO
Other
Enumeration date
01/15/2007
Last updated
09/11/2025
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