Individual provider · Type 1 NPI

Sophia Theodora Ann Gillam

Occupational Therapist · Gainesville, VA

NPI number 1033093406 Active

Practice location

7051 Heathcote Village Way Ste 105
Gainesville, VA 20155-3197

Call (703) 291-1254 Map

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X0119011109 (VA)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1033093406

Sophia Theodora Ann Gillam's National Provider Identifier is 1033093406, issued on Jul 31, 2025. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Gainesville, VA. The record was last updated on Sep 25, 2025.