Individual
BETH RENEE GILLETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
75 MCMILLEN DR, NEWARK, OH 43055-1808
(740) 344-0357
Mailing address
322 CAHALEN ST, CROOKSVILLE, OH 43731-1302
(740) 982-3229
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
02887
OH
Other
Enumeration date
09/29/2008
Last updated
09/29/2008
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