Individual
ROY PETER GILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
500 CROSS ST, BIG STONE CITY, SD 57216-8237
(605) 541-1140
Mailing address
500 CROSS ST, BIG STONE CITY, SD 57216-8237
(605) 541-1140
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
102513
MN
Other
Enumeration date
11/17/2020
Last updated
11/17/2020
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