Individual
MRS. JILLIAN M. KRUEGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
100 JOSEPH WALKER DR., WEST COLUMBIA, SC 29169
(803) 356-1303
Mailing address
PO BOX 38, MIAMIVILLE, OH 45147-0038
(513) 560-0045
(513) 831-1362
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
03957
OH
224Z00000X
Occupational Therapy Assistant
Primary
3107
SC
Other
Enumeration date
09/06/2012
Last updated
09/06/2012
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