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Individual

RICHARD J GILL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
2240 E HILL RD STE H, GRAND BLANC, MI 48439-5425
(810) 606-8766
(810) 606-8770
Mailing address
2240 E HILL RD STE H, GRAND BLANC, MI 48439-5425
(810) 606-8766
(810) 606-8770

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502004016
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5502004016
STATE OF MICHIGAN
MI
Enumeration date
08/01/2022
Last updated
08/01/2022
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