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NPI Code Detail

MEDICARE: ROBERT GILLANDERS DPT

MEDICARE: ROBERT GILLANDERS 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
1225100000XPhysical Therapist2305006263VA

General Provider Information

NPI Number : 1326024530
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT GILLANDERS DPT
Provider Business Mailing Address
First Line : PO BOX 412307
Second Line :
City : BOSTON
State : MA
Zip : 02241-2307
Country : US
Telephone Number : 914-294-4050
Fax Number :
Provider Business Practice Location Address
First Line : 70 JEFFERSON CT STE 102
Second Line :
City : ZION CROSSROADS
State : VA
Zip : 22942-9604
Country : US
Telephone Number : 540-832-3061
Fax Number : 540-832-3062
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/20/2005
Last Update Date : 07/14/2025

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