Sophia Theodora Ann Gillam

NPI #1033093406 in Gainesville, Virginia

Provider Information

NPI Number
1033093406
Entity Type
Individual
Name
Sophia Theodora Ann Gillam
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Occupational Therapist
Enumeration Date
Jul 31, 2025
Last Updated
Sep 25, 2025

Practice Location

Address
7051 HEATHCOTE VILLAGE WAY STE 105
ZIP Code
20155-3197
Phone
(703) 291-1254

Specialties & Taxonomy Codes

Specialty
Occupational Therapist

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