Individual
MRS. KIM ANN GILLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
4010 NAPOLI RD, PANAMA CITY, FL 32405-3213
(850) 814-9479
Mailing address
4010 NAPOLI RD, PANAMA CITY, FL 32405-3213
(850) 814-9479
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
OTA180
FL
Other
Enumeration date
06/14/2014
Last updated
06/14/2014
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