| Doctor Name: | MRS. GILLIAN DEYOUNG |
| NPI Number: | 1003150111 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | P.T. |
| License Number: | 5501004151 |
| Business Practice Address: | 3665 E 11 Mile Rd Suite B Warren, MI - 480924300 |
| Business Phone Number: | 5867554711 |
| Business Fax Number: | |
| Mailing Address: | 30704 Delton St, MADISON HEIGHTS |
| State: | MI |
| Postal Code: | 480712109 |
| Phone Number: | 2485857259 |
| Fax Number: | |
| NPI Enumeration Date: | 11/15/2012 |
| NPI Last Update Date: | 11/15/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251X0800X |
| License Number: | 5501004151 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Orthopedic |
| Taxonomy Definition: | |