Individual
MRS. JILL L TOLLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
3701 BELLEMEADE AVE, EVANSVILLE, IN 47714-0137
(812) 479-1411
(812) 437-2636
Mailing address
3701 BELLEMEADE AVE, EVANSVILLE, IN 47714-0137
(812) 479-1411
(812) 437-2636
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31000377A
IN
225XE1200X
Ergonomics Occupational Therapist
31000377A
IN
225XH1200X
Hand Occupational Therapist
31000377A
IN
225XH1300X
Human Factors Occupational Therapist
31000377A
IN
225XN1300X
Neurorehabilitation Occupational Therapist
31000377A
IN
225XP0200X
Pediatric Occupational Therapist
31000377A
IN
225XR0403X
Driving and Community Mobility Occupational Therapist
31000377A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000218743
ANTHEM BC & BS PIN
IN
Enumeration date
01/24/2007
Last updated
04/08/2008
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