Individual ProviderBryan GilowPhysical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address2617 Zak Ln, Green Bay, WI 54304-1630(480) 650-6846PECOS EnrollmentBased on the most recent information from CMS, provider Bryan Gilow does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1194265033Provider TypeIndividualFull NameGilow, BryanGenderMaleSole ProprietorNoEnumeration Date2/25/2017Last Updated2/25/2017Contact InformationPractice LocationPractice Address2617 Zak Ln, Green Bay, WI 54304-1630Phone(480) 650-6846FaxUnlisted FaxMailing LocationMailing Address2617 Zak Ln, Green Bay, WI 54304-1630Phone(480) 650-6846FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225200000XPrimaryDescriptionPhysical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense2432Wisconsin