NPI 1124574421

Azelia Octavee Gillum

Practitioner Developmental Therapist Slidell, LA

Practice location

Address: 2013 Heather Lane, Slidell, LA 70461
Phone: (402) 517-1351

Registered specialties (2)

Developmental Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Q00000X

Other Developmental Therapist providers in Louisiana →

Developmental Therapist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Q00000X

Registry record

NPI: 1124574421
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Aug 2016
Record last updated: 28 Aug 2016

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.