Individual
JILLIAN BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1725 HERMITAGE BLVD, TALLAHASSEE, FL 32308-7709
(850) 325-6301
Mailing address
3710 CORINTH DR, TALLAHASSEE, FL 32308-4061
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA17463
FL
Other
Enumeration date
01/10/2024
Last updated
01/10/2024
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