Individual
MARK ANTHONY GILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
403 W MEETING ST, LANCASTER, SC 29720-2321
(828) 449-4804
Mailing address
458 ANVIL DRAW PL, ROCK HILL, SC 29730-9236
(828) 449-4804
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
11720
NC
Other
Enumeration date
03/12/2019
Last updated
03/12/2019
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