Jacqueline Cultra Gilliam, PT

NPI #1083823959 in Martin, Tennessee

Provider Information

NPI Number
1083823959
Entity Type
Individual
Name
Jacqueline Cultra Gilliam, PT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapist
Credential
PT
Enumeration Date
May 21, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
904 TEMPLETON RD
City
Martin
ZIP Code
38237-5633
Phone
(731) 588-0814

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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