Individual
JILLIAN ROSE GULLOTTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
340 GRANITE ST, MANCHESTER, NH 03102-4000
(603) 626-0760
Mailing address
522 AMHERST ST STE 22, NASHUA, NH 03063-1030
(603) 880-0448
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2313
OT LICENSE
NH
Enumeration date
04/11/2018
Last updated
04/11/2018
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