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Individual

MS. RENEE DANIELLE GILLIGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
57078 APPALOOSA COURT, GOSHEN, IN 46528
(574) 370-2990
Mailing address
57078 APPALOOSA CT, GOSHEN, IN 46528-8980
(574) 370-2990

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06004165A
IN

Other

Enumeration date
11/16/2010
Last updated
11/16/2010
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