Individual
MRS. GABRIELLE EVELYN WILLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3455 VIEW AVE, ROANOKE, VA 24018-3736
(540) 484-1456
Mailing address
3455 VIEW AVE, ROANOKE, VA 24018-3736
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119008364
VA
225XP0200X
Pediatric Occupational Therapist
—
—
Other
Enumeration date
10/23/2019
Last updated
01/26/2026
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