Individual
DANIEL GILLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
1515 CAL DR, DAVISON, MI 48423-9016
(810) 496-8626
Mailing address
1515 CAL DR, DAVISON, MI 48423-9016
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201002050
MI
Other
Enumeration date
08/14/2018
Last updated
08/14/2018
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