ELISHA ANNE GILLUM

SAINT LOUIS, MO
NPI1750413522
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2251P0200X Physical Therapist, Pediatrics
(Licence: MO  2001008315)
Enumeration Date2007-03-09
Last Update Date2007-07-08
Business Address
Mrs. ELISHA ANNE GILLUM MPT
801 N 11TH ST MEDICAID DEPARTMENT
SAINT LOUIS, MO 63101-1015
Phone number: 314-345-2535
Mailing Address
Mrs. ELISHA ANNE GILLUM MPT
1868 COTTONWOOD DR
IMPERIAL, MO 63052-1573
Phone number: 636-464-6016
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