Individual
DAVID ANTHONY GILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
15350 W NATIONAL AVE STE 102-219, NEW BERLIN, WI 53151-5158
(262) 227-8541
(414) 755-1481
Mailing address
15350 W NATIONAL AVE STE 102, NEW BERLIN, WI 53151-5158
(262) 227-8541
(414) 755-1481
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4429024
WI
Other
Enumeration date
05/07/2007
Last updated
06/29/2023
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