Doctor Name: | DAWN MICHELLE GILLICK |
NPI Number: | 1497855183 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.T. |
License Number: | 5167 |
Business Practice Address: | 200 8th Ave Nw Faribault, MN - 550215068 |
Business Phone Number: | 5073345627 |
Business Fax Number: | |
Mailing Address: | 760 6th St Ne, FARIBAULT |
State: | MN |
Postal Code: | 550214404 |
Phone Number: | 5073339495 |
Fax Number: | |
NPI Enumeration Date: | 09/23/2006 |
NPI Last Update Date: | 10/05/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 5167 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
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 |