Individual
MORGAN ELYSE GILLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
45305 CATALINA CT STE 101, STERLING, VA 20166
(571) 441-3177
Mailing address
21600 OXNARD ST STE 1800, WOODLAND HILLS, CA 91367-7807
(818) 345-2345
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119007965
VA
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
03/15/2018
Last updated
11/05/2019
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