Individual
JILLIAN MARZEL WALSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10700 PARK PL, SAINT JOHN, IN 46373-8666
(219) 247-6459
Mailing address
9869 GARDEN WAY, SAINT JOHN, IN 46373-0199
(708) 828-2762
Taxonomy
Speciality
Code
Description
License number
State
224ZF0002X
Feeding, Eating & Swallowing Occupational Therapy Assistant
Primary
32002180A
IN
Other
Enumeration date
04/28/2022
Last updated
09/20/2023
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