Autumn Gillibrand, DPT

NPI #1407237936 in Le Roy, Illinois

Provider Information

NPI Number: 1407237936
Entity Type: Individual
Name: Autumn Gillibrand, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: DPT
Enumeration Date: Jun 10, 2015
Last Updated: Dec 12, 2016

Practice Location

Address: 200 E CEDAR ST
Address 2: SUITE C
City: Le Roy
State: Illinois
ZIP Code: 61752-1902
Phone: (309) 962-3240

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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