| NPI | 1689721920 |
|---|---|
| Former Name | KATHLEEN M GILLIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 19401) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: NY 016626-1) |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2018-09-26 |