Individual
MRS. RYAN DENISE GILLIKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
401 MEDICAL PARK DR, ATMORE, AL 36502-3006
(251) 368-6346
(251) 368-6255
Mailing address
1102 N WHITE AVE, BAY MINETTE, AL 36507-3967
(251) 368-6346
(251) 368-6255
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2096
AL
Other
Enumeration date
05/07/2007
Last updated
07/08/2007
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