Individual provider · Type 1 NPI

Chad Ellery Gillham

Occupational Therapy Assistant · Blytheville, AR

NPI number 1437330669 Active

Practice location

1510 Byrum Rd
Blytheville, AR 72315-8033

Call (870) 532-2600 Map

Mailing address

4587 Cty Rd 670
Broseley, MO 63932

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000XOT-A504 (AR)

Occupational Therapy Assistant: 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 a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examinatio…

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About NPI 1437330669

Chad Ellery Gillham's National Provider Identifier is 1437330669, issued on Nov 15, 2007. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Blytheville, AR. The record was last updated on Nov 15, 2007.