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Jonathan Robert Gilliand
Rehabilitation Practitioner in Bradley, Illinois
NPI 1154711570

Jonathan Robert Gilliand is a Rehabilitation Practitioner based in Bradley, IL. Jonathan Robert Gilliand practices in Bradley, IL. The NPI Number for Jonathan Robert Gilliand is 1154711570 and holds a License No. (Illinois).

The current practice location address for Jonathan Robert Gilliand is 330 Ponderosa Dr, Bradley, IL and can be reached out via phone at 910-568-7627.

Location: 330 Ponderosa Dr, Bradley, IL, 60915-1143
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154711570
Provider Name
Jonathan Robert Gilliand
Credential
Provider Entity Type
Individual
Gender
Male
Address
330 Ponderosa Dr, Bradley, IL, 60915-1143
Phone Number
910-568-7627
Fax Number
Provider Enumeration Date
01/24/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
330 Ponderosa Dr
City
Bradley
State
Illinois
Zip
60915-1143
Phone Number
910-568-7627
Fax Number
person
Provider Business Mailing Address Details
Address
330 Ponderosa Dr
City
Bradley
State
Illinois
Zip
60915-1143
Phone Number
910-568-7627
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Rehabilitation Practitioner
Speciality
-
Taxonomy
225400000X
License No.
()
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
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