Individual
KATHY GILLIAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
83 CROSSROADS LN, FISHERSVILLE, VA 22939
(540) 885-8424
Mailing address
1428 C ST, WAYNESBORO, VA 22980-4251
(540) 241-3384
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306604187
VA
Other
Enumeration date
11/10/2016
Last updated
11/10/2016
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