Most Relevant Information
Provider Data
| NPI Number: | 1003225822 |
| Provider Name: | JOSEPH GILLIS PTA |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: | PTA.08648 |
Most Important Dates
| Enumeration Date: | 08/06/2014 |
| Last Updated: | 08/06/2014 |
Provider Practice Location
186 W. BATH RD
CUYAHOGA FALLS
OH
44223
Practice Location Phone/Fax
| Phone: | 3309229911 |
| Fax: |
Provider Mailing Location
2615 BLAKE AVE NW
APT. 3
CANTON
OH
44718
Provider Mailing Phone/Fax
| Phone: | 3308817312 |
| Fax: |