Individual
MRS. REBECCA BLOOMER GILLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5522 AMBASSADOR CAFFERY PKWY, YOUNGSVILLE, LA 70592-5279
(337) 703-6300
Mailing address
105 BIRDWATCH LN, LAFAYETTE, LA 70508-8172
(337) 315-0014
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTT.Z12394
LA
Other
Enumeration date
08/13/2024
Last updated
08/13/2024
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