Individual
HANLEY GILLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
284 ROSE AVE, HARTFORD, AL 36344-2125
(334) 723-9013
Mailing address
284 ROSE AVE, HARTFORD, AL 36344-2125
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
18082
FL
Other
Enumeration date
03/31/2021
Last updated
03/31/2021
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