Individual
KATELYN ILENE GILLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSOT
Contact information
Practice address
25012 104TH AVE SE STE C, KENT, WA 98030-2821
(253) 856-3477
(253) 856-3478
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
WA
225XP0200X
Pediatric Occupational Therapist
123036
TX
Other
Enumeration date
09/19/2022
Last updated
07/16/2024
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