NPI 1003150111

Gillian Deyoung, PT

Practitioner Orthopedic Physical Therapist Warren, MI

Practice location

Address: 3665 E 11 Mile Rd Suite B, Warren, MI 48092-4300
Phone: (586) 755-4711
Mailing address: 30704 Delton St, Madison Heights, MI 48071-2109

Registered specialties

Orthopedic Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2251X0800X Licence 5501004151 (MI)

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Registry record

NPI: 1003150111
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Nov 2012
Record last updated: 15 Nov 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.