NPI 1437330669

Chad Ellery Gillham

Practitioner Occupational Therapy Assistant Blytheville, AR

Practice location

Address: 1510 Byrum Rd, Blytheville, AR 72315-8033
Phone: (870) 532-2600
Mailing address: 4587 Cty Rd 670, Broseley, MO 63932

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence OT-A504 (AR)

Other Occupational Therapy Assistant providers in Arkansas →

Registry record

NPI: 1437330669
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Nov 2007
Record last updated: 15 Nov 2007

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.