| NPI | 1295974871 |
|---|---|
| Former Name | CYNTHIA CATHERINE GILLAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070018363) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501013260) |
| Enumeration Date | 2009-02-05 |
| Last Update Date | 2014-08-25 |