Ryan Denise Gillikin, O.T.

Individual provider Active NPI Occupational Therapist · Atmore, AL

NPI 1295948487 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1295948487
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
2096 (AL)
Practice address
401 Medical Park Dr
Atmore, AL 36502-3006
Phone
(251) 368-6346
Fax
(251) 368-6255
NPI assigned
May 7, 2007
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
2096ALMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 2096 AL Yes

Addresses

Primary practice location

401 Medical Park Dr
Atmore, AL 36502-3006

Mailing address

1102 N White Ave
Bay Minette, AL 36507-3967
Phone (251) 368-6346

Other providers in Atmore, AL

All providers in Atmore, AL · Occupational Therapist in Alabama

Sources for this page

Verify at the official NPI Registry.