| Doctor Name: | GILLIAN WADLEIGH STURDIVANT |
| NPI Number: | 1215154745 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT |
| License Number: | 20270 |
| Business Practice Address: | 7300 Golden Fern Ct Elkridge, MD - 210755946 |
| Business Phone Number: | 4107968499 |
| Business Fax Number: | 4432708260 |
| Mailing Address: | 8349 Dubbs Dr, SEVERN |
| State: | MD |
| Postal Code: | 211443320 |
| Phone Number: | 4105510091 |
| Fax Number: | |
| NPI Enumeration Date: | 04/19/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251P0200X |
| License Number: | 20270 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |