Doctor Name: | CASEY RAY GILLICK |
NPI Number: | 1710303078 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT |
License Number: | PT023282 |
Business Practice Address: | 1805 Route 206, Suite 3 Novacare Rehabilitation Southampton, NJ - 08088 |
Business Phone Number: | 6098592426 |
Business Fax Number: | 6098592537 |
Mailing Address: | 1805 Route 206,, Suite 3 SOUTHAMPTON |
State: | NJ |
Postal Code: | 08088 |
Phone Number: | 6098592426 |
Fax Number: | 6098592537 |
NPI Enumeration Date: | 03/11/2014 |
NPI Last Update Date: | 03/11/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT023282 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
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 |