Individual
JAMEL G GILLIAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1201 BROAD ROCK BLVD, RICHMOND, VA 23249-0001
(804) 675-5000
Mailing address
13131 LOWERY BLUFF WAY APT 202, MIDLOTHIAN, VA 23112-8236
(804) 675-5000
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305203675
VA
Other
Enumeration date
07/19/2006
Last updated
07/08/2007
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