Individual
JILL MARIE SLY
Active
Individual
JILL MARIE SLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
5916
OR
225100000X
Physical Therapist
PTL.0017367
CO
2251G0304X
Geriatric Physical Therapist
Primary
PTL.0017367
CO
Other
Enumeration date
05/06/2009
Last updated
07/21/2021
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