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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. ANDY JOE GILLUM, COTA

Active Sole Proprietor

MR. ANDY JOE GILLUM, COTA is a Occupational Therapy Assistant healthcare provider located in PORTSMOUTH, Ohio. NPI 1003047812 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapy Assistant · PORTSMOUTH, OH

Registration Details

NPI Number
1003047812
Provider Type
Individual
Gender
Male
NPI Issued
Jul 29, 2009 (17.05991850126 yrs)
Last Updated
Jul 29, 2009
License
OTA . 04143 (OH)
Sole Proprietor
Yes

Practice Information

Address
2125 ROYCE ST
PORTSMOUTH, OH, 456624714
Browse OH providers · Browse ZIP 45662
Phone
7408769232
Fax
7408769525
Primary Specialty
Occupational Therapy Assistant
224Z00000X

Other Occupational Therapy Assistant Providers in PORTSMOUTH, OH

Name Credential NPI
MS. HERMA NELLE MORGAN COTA/L 1437347259
MADELYN PAIGE EICHENLAUB COTA/L 1619291978
MRS. SHANA MARIE JONES COTA/L 1679970982
MS. MALLORY WHITE COTA/L 1982076725
ERIN COX COTA 1124573589
DANIEL JOYCE COTA 1295257244
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.