Doctor Name: | RYAN GILL |
NPI Number: | 1154723542 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 1247809 |
Business Practice Address: | 1145 Ross St Suite E San Benito, TX - 785864421 |
Business Phone Number: | 9563616000 |
Business Fax Number: | 9563616060 |
Mailing Address: | 1145 Ross St, Suite E SAN BENITO |
State: | TX |
Postal Code: | 785864421 |
Phone Number: | 9563616000 |
Fax Number: | 9563616060 |
NPI Enumeration Date: | 09/17/2014 |
NPI Last Update Date: | 09/17/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 1247809 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
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 |