Individual
ESPERANZA NATIVIDAD GILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2301 MARSH LN # 200, PLANO, TX 75093-8497
(972) 899-5510
Mailing address
5813 STEEPLECHASE DR, PLANO, TX 75093-4502
(214) 738-3036
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
110592
TX
Other
Enumeration date
08/24/2018
Last updated
08/24/2018
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