Owen Gillam

NPI #1508413469 in Herkimer, New York

Provider Information

NPI Number
1508413469
Entity Type
Individual
Name
Owen Gillam
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapist
Enumeration Date
Aug 24, 2019
Last Updated
Aug 24, 2019

Practice Location

Address
3061 STATE ROUTE 28
ZIP Code
13350-1041
Phone
(315) 717-0020

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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