Individual
MARSHA GILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OMT COM
Contact information
Practice address
14050 N 83RD AVE, SUITE 290, PEORIA, AZ 85381-5638
(602) 796-6070
(888) 796-9570
Mailing address
8447 W DESERT ELM LN, PEORIA, AZ 85383-3645
(602) 796-6070
(888) 796-9570
Taxonomy
Speciality
Code
Description
License number
State
125J00000X
Dental Therapist
554
AZ
125Q00000X
Oral Medicine Dentistry
554
AZ
174400000X
Specialist
Primary
554
AZ
225100000X
Physical Therapist
—
—
Other
Enumeration date
06/16/2015
Last updated
07/21/2022
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