Individual
DIANE GILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
101 E STATE ST, KENNETT SQUARE, PA 19348-3109
(800) 243-4556
(844) 399-9892
Mailing address
101 E STATE ST, KENNETT SQUARE, PA 19348-3109
(800) 243-4556
(844) 399-9892
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502004594
MI
Other
Enumeration date
08/03/2015
Last updated
08/03/2015
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