National Provider Identifier

Magdalen Anne Gillard, OT-L

Magdalen Anne Gillard, OT-L is listed in the NPPES registry with a primary specialty of Occupational Therapist in Ithaca, NY and a listed phone number of (607) 882-9520.

NPI 1740564582Ithaca, NYOccupational Therapist

Profile Overview

NPI
1740564582
Provider Type
Individual
Primary Specialty
Occupational Therapist
Enumeration Date
September 28, 2011
Last Updated
September 28, 2011

Practice Location

  • 3226 Wilkins RD
  • Ithaca, NY 14850-9568

Phone: (607) 882-9520

Mailing Address

  • 110 Woolf Ln
  • Ithaca, NY 14850-9551

Specialties

  • Occupational Therapist (225X00000X)
Full Record
NPI
1740564582
Entity Type
Individual
Last Name
Gillard
First Name
Magdalen
Middle Name
Anne
Credential
OT-L
Mailing Street Address
110 Woolf Ln
Mailing City
Ithaca
Mailing State
NY
Mailing ZIP Code
14850-9551
Mailing Country
US
Mailing Phone
(607) 339-8625
Practice Street Address
3226 Wilkins RD
Practice City
Ithaca
Practice State
NY
Practice ZIP Code
14850-9568
Practice Country
US
Practice Phone
(607) 882-9520
Enumeration Date
September 28, 2011
Last Updated
September 28, 2011
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Occupational Therapist (225X00000X)