Individual
AMANDA RAE GILLILAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1402 HOSPITAL PLAZA DR APT 419, WILMINGTON, NC 28401-6655
(910) 762-1130
Mailing address
1800 EASTWOOD RD, APT 246, WILMINGTON, NC 28403-3654
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P14426
NC
Other
Enumeration date
08/05/2013
Last updated
01/19/2015
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