Individual
JENIFFER GILLESPIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17512 CHERRY RIDGE LN, FORT MYERS, FL 33967-5132
(239) 222-3751
Mailing address
17512 CHERRY RIDGE LN, FORT MYERS, FL 33967-5132
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
01/26/2020
Last updated
01/26/2020
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