Individual
ALANA A GILLENWATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
155 RESTON PL, GASSAWAY, WV 26624-9356
(304) 364-9191
(304) 364-9193
Mailing address
3942 DAVIS STUART RD STE 3, RONCEVERTE, WV 24970-0269
(304) 647-3987
(304) 647-3990
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PT003799
WV
Other
Enumeration date
06/20/2017
Last updated
06/20/2017
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