Individual
MARISSA GILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT, PT
Contact information
Practice address
375 FAUNCE CORNER RD STE C, NORTH DARTMOUTH, MA 02747-1258
(781) 425-7906
(774) 221-2209
Mailing address
1 CREDIT UNION WAY FL 3, RANDOLPH, MA 02368-4633
(781) 961-3370
(781) 961-1291
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
20353
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110010076A
—
MA
Enumeration date
01/25/2013
Last updated
07/24/2019
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