MEDICARE: ALEXANDER PAUL GILSON PT

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	2251X0800X	Orthopedic Physical Therapist	PT018671	OH

General Provider Information

NPI Number	:	1578176343
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXANDER PAUL GILSON PT

Provider Business Mailing Address
First Line	:	27511 HOLIDAY LN STE 105
Second Line	:
City	:	PERRYSBURG
State	:	OH
Zip	:	43551-5397
Country	:	US
Telephone Number	:	567-342-0688
Fax Number	:	866-593-6617

Provider Business Practice Location Address
First Line	:	3130 CENTRAL PARK W STE C
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43617-1088
Country	:	US
Telephone Number	:	419-720-1290
Fax Number	:	419-720-1291

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

Provider Enumeration Date	:	08/31/2020
Last Update Date	:	07/05/2023

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