MEDICARE: DAMON GILL DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	310085	CA

General Provider Information

NPI Number	:	1568390151
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAMON GILL DPT

Provider Business Mailing Address
First Line	:	844 BRIDGE ST STE C
Second Line	:
City	:	COLUSA
State	:	CA
Zip	:	95932-2867
Country	:	US
Telephone Number	:	530-458-7770
Fax Number	:

Provider Business Practice Location Address
First Line	:	844 BRIDGE ST STE C
Second Line	:
City	:	COLUSA
State	:	CA
Zip	:	95932-2867
Country	:	US
Telephone Number	:	530-458-7770
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/12/2026
Last Update Date	:	05/12/2026

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Directions to “ DAMON GILL DPT” Practice Location

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