Individual provider · Type 1 NPI

Stephen Gilliam

Physical Therapy Assistant · South Daytona, FL

NPI number 1295062255 Active

Practice location

917 Beville Rd, Suite G
South Daytona, FL 32119-1712

Call (386) 756-4395 Map

Fax (866) 426-2811

Mailing address

390 Glenwood Dr
Athens, GA 30606-4620

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XPTA000967 (GA)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1295062255

Stephen Gilliam's National Provider Identifier is 1295062255, issued on Nov 12, 2009. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in South Daytona, FL. The record was last updated on Nov 12, 2009.