Individual
MS. JILLANNA SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC, PES
Contact information
Practice address
2230 HIGLEY HILL RD, WEST MARLBORO, VT 05363-9512
(802) 258-7806
Mailing address
2230 HIGLEY HILL RD, WEST MARLBORO, VT 05363-9512
(802) 258-7806
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
104.0081190
VT
2255A2300X
Athletic Trainer
RT005522
PA
Other
Enumeration date
04/29/2014
Last updated
04/29/2014
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