Individual
LINDSAY GILLESPIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7400 RANCHO LOS GUILICOS RD, SANTA ROSA, CA 95409-6540
(707) 565-8175
(707) 565-8190
Mailing address
4036 TRINITY DR, SANTA ROSA, CA 95405-7714
(408) 398-3464
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
35184
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35184
PT BOARD OF CALIFORNA
CA
Enumeration date
09/18/2020
Last updated
09/18/2020
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