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Individual

CAROL CHAN GILLILAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MOT, OTR/L

Contact information

Practice address
116 N PAULINE ST, MEMPHIS, TN 38104-1005
(901) 523-8990
Mailing address
116 N PAULINE ST, MEMPHIS, TN 38104-1005
(901) 523-8990

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4801
TN

Other

Enumeration date
05/20/2017
Last updated
09/16/2025
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