Mr. Andy Joe Gillum
Occupational Therapy Assistant
2125 Royce St
Portsmouth
, Ohio 45662-4714
Mr. Andy Joe Gillum
Occupational Therapy Assistant
2125 Royce St
Portsmouth
, Ohio 45662-4714
(740) 876-9525
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About
Features
Specialties
- Occupational Therapy Assistant
Languages spoken
- English
Location
First Address
- Mr. Andy Joe Gillum
- 2125 Royce St
- Portsmouth, OH
- Zip : 45662-4714
- Fax : (740) 876-9525
- Phone : (740) 876-9232
Second Address
- Mr. Andy Joe Gillum
- 2125 Royce St
- Portsmouth, OH
- Zip : 45662-4714
- Fax : (740) 876-9525
- Phone : (740) 876-9232
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | OTA . 04143 | OH |
National Provider Identifier
| NPI | 1003047812 |
|---|---|
| Provider Name | Mr. Andy Joe Gillum |
| First Address | Portsmouth, OH 45662-4714 |
| Second Address | Portsmouth, OH 45662-4714 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/07/2009 |
| Last Update Date | 29/07/2009 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.