Individual
KASIE LYNN GILLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
10231 BLISS RD, DELPHOS, OH 45833-9657
(419) 303-0385
Mailing address
10231 BLISS RD, DELPHOS, OH 45833-9657
(419) 303-0385
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5786
OH
Other
Enumeration date
05/21/2009
Last updated
05/21/2009
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