| Doctor Name: | MS. VIRGINIA MARIE GILLETTE |
| NPI Number: | 1972613040 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT, MPH |
| License Number: | PT 10936 |
| Business Practice Address: | 913 Nw Garden Valley Blvd Roseburg, OR - 974706523 |
| Business Phone Number: | 5414401000 |
| Business Fax Number: | 5416773037 |
| Mailing Address: | 623 Ne Winchester St, ROSEBURG |
| State: | OR |
| Postal Code: | 974703261 |
| Phone Number: | 5416724739 |
| Fax Number: | |
| NPI Enumeration Date: | 08/30/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT 10936 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| 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 |