Individual
DR. MARIAN GILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR L. PHD
Contact information
Practice address
8301 ROOSEVELT BLVD, PHILADELPHIA, PA 19152-2006
(215) 624-7575
Mailing address
530 GENERAL PATTERSON DR, GLENSIDE, PA 19038-3202
(215) 576-8315
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC000189L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AHL1185465
LIABILITY INSURANCE POLIC
PA
Enumeration date
04/08/2007
Last updated
07/08/2007
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