Kevin Andrew Gillman, DPT
Physical Therapist in Royal Oak, MI. Individual provider (NPI-1).
NPI number1982105607
StatusActive
Last updated in NPPESFeb 27, 2018
Details
- NPI
- 1982105607
- Entity type
- Individual (NPI-1)
- Name
- Kevin Andrew Gillman
- Credential
- DPT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 27, 2018
- Last updated
- Feb 27, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 5501018114 | MI | Yes |
Practice location
4949 Coolidge HwyRoyal Oak, MI 48073-1026
Phone 616-581-9458
Mailing address
4949 Coolidge HwyRoyal Oak, MI 48073-1026
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