Individual
NICOLE GILLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4935 HILLEGAS RD STE 200, FORT WAYNE, IN 46818-1943
(260) 338-1241
(260) 338-1231
Mailing address
4935 HILLEGAS RD STE 200, FORT WAYNE, IN 46818-1943
(260) 338-1241
(260) 338-1231
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05010351A
IN
Other
Enumeration date
07/08/2010
Last updated
06/25/2019
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