Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AUTUMN GILLIBRAND, DPT
ActiveAUTUMN GILLIBRAND, DPT is a Physical Therapy Assistant healthcare provider located in LE ROY, Illinois. NPI 1407237936 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · LE ROY, IL
Registration Details
- NPI Number
- 1407237936
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 10, 2015 (11.181658997289 yrs)
- Last Updated
- Dec 12, 2016
- License
-
070021382 (IL)
Practice Information
- Address
-
200 E CEDAR STSUITE CLE ROY, IL, 617521902Browse IL providers · Browse ZIP 61752
- Phone
- 3099623240
- Fax
- 3099623243
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in LE ROY, IL
| Name | Credential | NPI |
|---|---|---|
| BENJAMIN S ROTH | — | 1124618046 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.