Individual
MISS SARA LEANN GILLIAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
54 HOSPITAL DR, OSAGE BEACH, MO 65065-3050
(573) 348-8000
Mailing address
284 BENTOWN RIDGE RD, BRUMLEY, MO 65017-3518
(573) 832-2281
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2012029181
MO
224Z00000X
Occupational Therapy Assistant
2012029181
—
Other
Enumeration date
08/08/2025
Last updated
08/08/2025
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