Doctor Name: | MRS. JAIME M GILLIAM |
NPI Number: | 1720041759 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MPT |
License Number: | PT 29672 |
Business Practice Address: | 3179 Hamner Ave Suite 7 Norco, CA - 928601983 |
Business Phone Number: | 9517365646 |
Business Fax Number: | |
Mailing Address: | 884 Foxtail Dr, CORONA |
State: | CA |
Postal Code: | 928806798 |
Phone Number: | 9517360970 |
Fax Number: | |
NPI Enumeration Date: | 04/10/2006 |
NPI Last Update Date: | 04/24/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT 29672 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
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 |