Individual
MATTHEW GILLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1600 S 48TH ST, LINCOLN, NE 68506-1275
(402) 481-3777
Mailing address
7429 WHITESTONE DR, LINCOLN, NE 68506-1772
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
947
NE
Other
Enumeration date
05/27/2007
Last updated
07/08/2007
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