Individual
MRS. JILL GRIFFIN BOULO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
166 MOBILE INFIRMARY BLVD, MOBILE, AL 36607
(251) 435-2016
(251) 435-3069
Mailing address
166 MOBILE INFIRMARY BLVD, MOBILE, AL 36607
(251) 435-2016
(251) 435-3069
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1835
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051525906
BCBS
AL
05
—
890012810
—
AL
Enumeration date
05/02/2006
Last updated
04/14/2014
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