Individual
LAURA GILLULY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
3180 PROFESSIONAL PLZ, GERMANTOWN, TN 38138-1515
(901) 328-2110
Mailing address
3180 PROFESSIONAL PLZ, GERMANTOWN, TN 38138-1515
(901) 328-2110
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5801
TN
Other
Enumeration date
03/06/2018
Last updated
03/06/2018
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