Individual
MICHELLE GILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
6613 BRAYTON DR, SUITE A, ANCHORAGE, AK 99507-2127
(907) 334-9002
(907) 334-9320
Mailing address
PO BOX 113394, ANCHORAGE, AK 99511-3394
(907) 334-9002
(907) 334-9320
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
1609
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PT2352
—
AK
Enumeration date
05/23/2007
Last updated
07/08/2007
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