Individual
MARGY GAYLE GILLISPIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4157 S HARVARD AVE, STE 111, TULSA, OK 74135-2631
(918) 743-2988
(918) 743-3248
Mailing address
4157 S HARVARD AVE, SUITE 111, TULSA, OK 74135-2631
(918) 743-2988
(918) 743-3248
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT542
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100835200A
—
OK
01
—
650016749
RR MEDICARE
OK
01
—
731194955001
BCBS
OK
01
—
9748
BLUE LINCS HMO
OK
01
—
A003
TRICARE
OK
Enumeration date
09/09/2005
Last updated
10/29/2009
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