Individual
DAWN MICHELLE GILLICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
200 8TH AVE NW, FARIBAULT, MN 55021-5068
(507) 334-5627
Mailing address
760 6TH ST NE, FARIBAULT, MN 55021-4404
(507) 333-9495
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5167
MN
Other
Enumeration date
09/23/2006
Last updated
10/05/2009
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