Individual
GLORIA GILLYARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5106 KRAMME AVE, BROOKLYN PARK, MD 21225-3019
(443) 418-8044
Mailing address
5106 KRAMME AVE, BROOKLYN PARK, MD 21225-3019
(443) 418-8044
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
A00805
MD
Other
Enumeration date
12/18/2012
Last updated
03/10/2015
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