Individual
MR. MATTHEW VINCENT GILLANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
5008 BALTIMORE AVE, SUITE 2B PHYSICAL THERAPY, PHILADELPHIA, PA 19143-3302
(215) 764-8500
(215) 764-8507
Mailing address
15 HAMPTON CT, BLACKWOOD, NJ 08012-4567
(215) 764-8500
(215) 764-8507
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT003861L
PA
Other
Enumeration date
02/10/2008
Last updated
02/10/2008
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