Individual
MS. VIRGINIA MARIE GILLETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, MPH
Contact information
Practice address
913 NW GARDEN VALLEY BLVD, ROSEBURG, OR 97470-6523
(541) 440-1000
(541) 677-3037
Mailing address
623 NE WINCHESTER ST, ROSEBURG, OR 97470-3261
(541) 672-4739
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2916
OR
225100000X
Physical Therapist
PT - 893
HI
225100000X
Physical Therapist
PT 10936
CA
Other
Enumeration date
08/30/2006
Last updated
07/08/2007
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