Individual
MR. RICHARD GILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
3405 DALLAS HWY SW STE 601, MARIETTA, GA 30064-6427
(770) 438-5226
(770) 794-4766
Mailing address
3405 DALLAS HWY SW STE 601, MARIETTA, GA 30064-6427
(770) 438-5226
(770) 794-4766
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA004910
GA
Other
Enumeration date
07/26/2022
Last updated
07/26/2022
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