Individual
JAMIE GILLETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
219 PAGE ST, TOLEDO, OH 43620-1430
(419) 865-7487
Mailing address
3176 CHELTENHAM RD, TOLEDO, OH 43606-1816
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA.4705
OH
Other
Enumeration date
05/21/2014
Last updated
05/21/2014
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