Individual
BRENDEN GILLIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
280 SMITH AVE N STE 120, SAINT PAUL, MN 55102-2579
(612) 863-6029
Mailing address
280 SMITH AVE N STE 120, SAINT PAUL, MN 55102-2579
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9892
MN
Other
Enumeration date
04/28/2015
Last updated
09/26/2023
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