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Individual

MS. AUDREY GILLIAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
601 PENNSYLVANIA AVE NW, WASHINGTON, DC 20004-2601
(301) 204-9130
Mailing address
601 PENNSYLVANIA AVE., WASHINGTON, DC 20004

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
03105
MD
225X00000X
Occupational Therapist
Primary
OT540
DC

Other

Enumeration date
03/17/2008
Last updated
03/17/2008
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