Individual
MRS. JILL LOUETTA ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT/L
Contact information
Practice address
939 S STATE ST, WESTERVILLE, OH 43081-3346
(614) 845-8400
Mailing address
939 S STATE ST, WESTERVILLE, OH 43081-3346
(614) 845-8400
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT 002587
OH
Other
Enumeration date
05/09/2008
Last updated
09/23/2014
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