Individual
KATIE AMANDA GILSTRAP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
110 WILLOW PL APT 324, EASLEY, SC 29640-4111
(864) 855-9800
Mailing address
200 ROCKMONT RD, EASLEY, SC 29640-9640
(843) 245-4199
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5419
SC
Other
Enumeration date
11/07/2018
Last updated
11/07/2018
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