ANDY JOE GILLUM

PORTSMOUTH, OH
NPI1003047812
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: OH  OTA . 04143)
Enumeration Date2009-07-29
Last Update Date2009-07-29
Business Address
Mr. ANDY JOE GILLUM COTA
2125 ROYCE ST
PORTSMOUTH, OH 45662-4714
Phone number: 740-876-9232
Mailing Address
Mr. ANDY JOE GILLUM COTA
2125 ROYCE ST
PORTSMOUTH, OH 45662-4714
Phone number: 740-876-9232
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