Chad Ellery Gillham in Blytheville - Occupational Therapy Assistant

Chad Ellery Gillham - NPI 1437330669

Chad Ellery Gillham is a Occupational Therapy Assistant in Blytheville, Arkansas. Chad Ellery Gillham practices all healthcare services and medical treatments related to Occupational Therapy Assistant. The NPI Number for Chad Ellery Gillham is 1437330669. The last update date is 2007-11-15.

Chad Ellery Gillham's current location address is 1510 Byrum Rd, Blytheville, Arkansas. You can contact this provider via phone number 8705322600. The mailing address for Chad Ellery Gillham is 1510 Byrum Rd, Blytheville, Arkansas. To know further, please read the information below!

Provider Profile Detail

Provider Name Chad Ellery Gillham
Address 1510 Byrum Rd, Blytheville, Arkansas
Phone Number 8705322600
Fax Number
Sole Proprietor N
Credentials --

NPI Number Detail

NPI Number 1437330669
Provider Enumeration Date 2007-11-15
Last Updated Date 2007-11-15

Provider Mailing Address Detail

Address 1510 Byrum Rd
City Blytheville
State Arkansas (AR)
Post Code 723158033
Phone Number 8705322600
Fax Number

Provider's Primary Taxonomy Detail

Speciality Occupational Therapy Assistant
Taxonomy 224Z00000X
Licence No OT-A504
Definition:
An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed

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FAQs about Chad Ellery Gillham

What is the unique 10-digit identifier code issued to Chad Ellery Gillham by the Centers for Medicare & Medicaid Services?

The Chad Ellery Gillham has been assigned the NPI (National Provider Identifier) 1437330669 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where Chad Ellery Gillham is physically located?

The Chad Ellery Gillham is physically situated at the following address: 1510 Byrum Rd, Blytheville, AR, 723158033.

What is Chad Ellery Gillham's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Chad Ellery Gillham is Occupational Therapy Assistant, and the taxonomy code that classifies this field of practice is 224Z00000X.

When did Chad Ellery Gillham receive its 1437330669 assignment?

The Chad Ellery Gillham was assigned its 1437330669 on 2007-11-15, which is the date when this unique identifier was issued to the organization.

When was the information related to Chad Ellery Gillham most recently updated or refreshed?

The details pertaining to the Chad Ellery Gillham, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-11-15.

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