Individual
BRADY GILLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
800 SCOTT AND WHITE DR, COLLEGE STATION, TX 77845-6440
(979) 207-4380
Mailing address
2913 DURANGO CT, COLLEGE STATION, TX 77845-6565
(979) 676-1718
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
125088
TX
Other
Enumeration date
11/04/2024
Last updated
11/04/2024
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