MR. Chad Ellery Gillham
NPI #1437330669 in Blytheville, Arkansas
Provider Information
- NPI Number
- 1437330669
- Entity Type
- Individual
- Name
- MR. Chad Ellery Gillham
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Occupational Therapy Assistant
- Enumeration Date
- Nov 15, 2007
- Last Updated
- Nov 15, 2007
Practice Location
- Address
- 1510 BYRUM RD
- City
- Blytheville
- State
- Arkansas
- ZIP Code
- 72315-8033
- Phone
- (870) 532-2600
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapy Assistant |
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