NPI 1003047812

Andy Joe Gillum, COTA

Practitioner Occupational Therapy Assistant Portsmouth, OH

Practice location

Address: 2125 Royce St, Portsmouth, OH 45662-4714
Phone: (740) 876-9232
Fax: (740) 876-9525

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence OTA . 04143 (OH)

Other Occupational Therapy Assistant providers in Ohio →

Registry record

NPI: 1003047812
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Jul 2009
Record last updated: 29 Jul 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.