Jack Gilbert

NPI #1053742585 in Madison Heights, Michigan

Provider Information

NPI Number: 1053742585
Entity Type: Individual
Name: Jack Gilbert
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Enumeration Date: Dec 10, 2013
Last Updated: Dec 10, 2013

Practice Location

Address: 31125 DEQUINDRE RD
City: Madison Heights
State: Michigan
ZIP Code: 48071-1566
Phone: (586) 582-8668

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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