Individual
JILLIAN NICKLAS ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2075 SCOTLAND AVE, CHAMBERSBURG, PA 17201-1451
(717) 263-8545
Mailing address
3311 PORTRAIT WAY, CHAMBERSBURG, PA 17202-8183
(717) 360-4874
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC010225
PA
Other
Enumeration date
07/07/2010
Last updated
09/17/2010
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