Individual
DONOVAN GILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
1800 MICCOSUKEE COMMONS DR, APT 905, TALLAHASSEE, FL 32308-5435
(850) 508-5347
Mailing address
1800 MICCOSUKEE COMMONS DR, APT 905, TALLAHASSEE, FL 32308-5435
(850) 508-5347
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA 13836
FL
Other
Enumeration date
12/22/2014
Last updated
12/22/2014
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