Individual
MS. JUSTINE MARY ANTON GILLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
500 E MAIN ST, SUITE 310, BRANFORD, CT 06405-2911
(203) 315-7727
(203) 315-7757
Mailing address
500 E MAIN ST, SUITE 310, BRANFORD, CT 06405-2911
(203) 315-7727
(203) 315-7757
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
002869
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080002869CT01
ANTHEM B/C B/S
CT
01
—
2266611
FIRST HEALTH
—
01
—
7820314
AETNA
—
Enumeration date
12/29/2006
Last updated
03/01/2016
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