Individual
MALINDA GILLISPIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
404 BRUNN SCHOOL RD STE D, SANTA FE, NM 87505-1102
(505) 995-8100
Mailing address
404 BRUNN SCHOOL RD STE D, SANTA FE, NM 87505-1102
(505) 995-8100
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3889
NM
Other
Enumeration date
06/06/2010
Last updated
08/14/2019
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