Doctor Name: | JILL ELIZABETH GLEASON |
NPI Number: | 1124150230 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | PT28526 |
Business Practice Address: | 3490 20th St 1st Floor San Francisco, CA - 941102582 |
Business Phone Number: | 4158244228 |
Business Fax Number: | 4158244678 |
Mailing Address: | 1269 Dolores St Apt 4, SAN FRANCISCO |
State: | CA |
Postal Code: | 941103643 |
Phone Number: | 6505047757 |
Fax Number: | |
NPI Enumeration Date: | 03/12/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT28526 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |