Individual
JULIANNA GILLAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
188 MEDICAL DR, HANNIBAL, MO 63401-6877
(573) 406-0576
Mailing address
188 MEDICAL DR, HANNIBAL, MO 63401-6877
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
08/31/2015
Last updated
08/31/2015
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