Kennedy Gilliam, COTA/L
NPI #1568341410 in West Plains, Missouri
Provider Information
- NPI Number
- 1568341410
- Entity Type
- Individual
- Name
- Kennedy Gilliam, COTA/L
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Occupational Therapy Assistant
- Credential
- COTA/L
- Enumeration Date
- Aug 27, 2025
- Last Updated
- Aug 27, 2025
Practice Location
- Address
- 1100 N KENTUCKY AVE
- City
- West Plains
- State
- Missouri
- ZIP Code
- 65775-2029
- Phone
- (417) 257-5959
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapy Assistant |
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