Individual
IRENE GILLILAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9000 LARKIN RD, LIVE OAK, CA 95953-9599
(530) 695-8020
Mailing address
5100 GARFIELD AVE APT 10, SACRAMENTO, CA 95841-3831
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
09/13/2017
Last updated
09/13/2017
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