Doctor Name: | COREY THOMAS GILL |
NPI Number: | 1144689316 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPT |
License Number: | PT011705 |
Business Practice Address: | 1219 W Spring St Monroe, GA - 306551756 |
Business Phone Number: | 7702076624 |
Business Fax Number: | 7702076631 |
Mailing Address: | 3455 Highway 81, LOGANVILLE |
State: | GA |
Postal Code: | 300529138 |
Phone Number: | 7705540665 |
Fax Number: | 7705540685 |
NPI Enumeration Date: | 02/17/2016 |
NPI Last Update Date: | 02/17/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT011705 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
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 |