MRS. ELISHA GILLUM, MPT
Physical Therapist - Pediatrics
Active
Individual
NPI: 1750413522
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physical Therapist - Pediatrics | 2251P0200X | Yes | 2001008315 (MO) |
Frequently Asked Questions
NPI 1750413522 is the National Provider Identifier for MRS. ELISHA GILLUM, MPT, a Physical Therapist - Pediatrics provider located in Saint Louis, MO. This NPI was enumerated on March 9, 2007.
MRS. ELISHA GILLUM, MPT practices at 801 N 11TH ST, MEDICAID DEPARTMENT, Saint Louis, MO 63101.
Quick Facts
- NPI
- 1750413522
- Type
- Individual
- Enumerated
- Mar 9, 2007
- Last Updated
- Jul 8, 2007
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