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Individual

ROBERT WILLIAM GILSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PTA, MT

Contact information

Practice address
6246 N 19TH AVE, PHOENIX, AZ 85015-1511
(602) 433-6300
Mailing address
11615 N 22ND ST, PHOENIX, AZ 85028-1701
(602) 616-5488

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
27A
AZ
225200000X
Physical Therapy Assistant
A1923
MD

Other

Enumeration date
06/05/2007
Last updated
07/08/2007
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