Vivian Faith Gillis, PTA

NPI #1225708761 in Augusta, Florida

Provider Information

NPI Number
1225708761
Entity Type
Individual
Name
Vivian Faith Gillis, PTA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapy Assistant
Credential
PTA
Enumeration Date
Sep 16, 2021
Last Updated
Nov 1, 2021

Practice Location

Address
60 NO NAME AVE
State
Florida
ZIP Code
33635
Phone
(813) 000-0000

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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