Provider Demographics
NPI:1578176343
Name:GILSON, ALEXANDER PAUL (PT)
Entity Type:Individual
Prefix:
First Name:ALEXANDER
Middle Name:PAUL
Last Name:GILSON
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27511 HOLIDAY LN STE 105
Mailing Address - Street 2:
Mailing Address - City:PERRYSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43551-5397
Mailing Address - Country:US
Mailing Address - Phone:567-342-0688
Mailing Address - Fax:866-593-6617
Practice Address - Street 1:3130 CENTRAL PARK W STE C
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43617-1088
Practice Address - Country:US
Practice Address - Phone:419-720-1290
Practice Address - Fax:419-720-1291
Is Sole Proprietor?:No
Enumeration Date:2020-08-31
Last Update Date:2023-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT0186712251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic