Most Relevant Information
Provider Data
| NPI Number: | 1003451154 |
| Provider Name: | ANNIE T. GILLESPIE MPT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | PT2479 |
Most Important Dates
| Enumeration Date: | 11/13/2019 |
| Last Updated: | 11/13/2019 |
Provider Practice Location
304 N. RICHARDSON AVE.
ROSWELL
NM
882014639
Practice Location Phone/Fax
| Phone: | 5755780069 |
| Fax: | 5755780124 |
Provider Mailing Location
304 N. RICHARDSON AVE.
ROSWELL
NM
882014639
Provider Mailing Phone/Fax
| Phone: | 5755780069 |
| Fax: | 5755780124 |