Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. JESSICA LANIER GILLEN, PTA
Active Sole ProprietorOccupational Therapist · WARSAW, NC
Registration Details
- NPI Number
- 1659895985
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 28, 2017 (8.7528260947733 yrs)
- Last Updated
- Jul 21, 2022
- License
-
A4448 (NC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
214 LANE FIELD RDWARSAW, NC, 28398Browse NC providers · Browse ZIP 28398
- Phone
- 9102933144
- Primary Specialty
-
Occupational Therapist
225200000X
Other Occupational Therapist Providers in WARSAW, NC
| Name | Credential | NPI |
|---|---|---|
| ETHAN MCCOY BROCK | — | 1568940948 |
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.