Individual
JILLIAN DICOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
9040 JACKSON AVE, TACOMA, WA 98431-0001
(734) 763-6709
Mailing address
5005 N. PIEDRAS ST, EL PASO, TX 79920
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
119994
TX
225X00000X
Occupational Therapist
18367
FL
Other
Enumeration date
04/24/2019
Last updated
08/23/2022
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