Individual
CAROLYN LOUISE GILLIAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1143 E MAIN ST, LANCASTER, OH 43130-4056
(740) 687-8622
(740) 687-8857
Mailing address
1143 E MAIN ST, LANCASTER, OH 43130-4056
(740) 687-8622
(740) 687-8857
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1198
OH
Other
Enumeration date
04/06/2020
Last updated
04/06/2020
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