Individual
JILLAINE LOUISE OTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
6155 MINERAL POINT RD, MADISON, WI 53705-4457
(608) 230-4443
Mailing address
6155 MINERAL POINT RD, MADISON, WI 53705-4457
(608) 230-4443
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1859-27
WI
Other
Enumeration date
10/25/2017
Last updated
06/20/2018
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