Individual
DANIEL RAY GILLIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
1651 CONEY ISLAND AVE STE 2, BROOKLYN, NY 11230-5856
(718) 998-1415
Mailing address
210 ECKFORD ST APT 2R, BROOKLYN, NY 11222-6226
(917) 485-1453
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
010946
NY
Other
Enumeration date
04/13/2022
Last updated
04/13/2022
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