Individual
GABRIEL BILELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
2727 BOGAN CREEK DR, BUFORD, GA 30519-4517
(225) 266-4782
Mailing address
2727 BOGAN CREEK DR, BUFORD, GA 30519-4517
(225) 266-4782
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA.0000768
CO
224Z00000X
Occupational Therapy Assistant
OTA001907
GA
Other
Enumeration date
06/28/2016
Last updated
06/28/2016
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