Individual
MRS. JILL FELLOWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
515 19TH AVE SW, WILLMAR, MN 56201-5274
(507) 401-1467
Mailing address
515 19TH AVE SW, WILLMAR, MN 56201-5274
(507) 401-1467
(320) 839-4196
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
104818
MN
Other
Enumeration date
02/18/2015
Last updated
08/25/2021
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