| NPI | 1346027778 |
|---|---|
| Former Name | CONNIE LEE GILLILAND |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: OH 001784) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: OH 001798) |
| Enumeration Date | 2023-09-11 |
| Last Update Date | 2023-09-11 |