Individual
MR. FRED E GILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
53 59 PUBLIC SQ, WOODRUFF PROF BLDG, WATERTOWN, NY 13601-2674
(315) 782-7872
(315) 782-7871
Mailing address
53 59 PUBLIC SQ, WOODRUFF BLDG, WATERTOWN, NY 13601-2674
(315) 782-7872
(315) 782-7871
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0030971
NY
Other
Enumeration date
09/27/2006
Last updated
07/08/2007
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