Individual
ELIZA GILLIAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
107 W 29TH ST STE 100, LOVELAND, CO 80538-2200
(970) 663-6142
(970) 635-3087
Mailing address
107 W 29TH ST STE 100, LOVELAND, CO 80538-2200
(970) 663-6142
(970) 635-3087
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
15191
CO
Other
Enumeration date
07/17/2023
Last updated
07/17/2023
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