Individual
MS. JILL MICHELLE HULSART
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2034 RANDOLPH RD, SUITE 300, CHARLOTTE, NC 28207-1216
(704) 332-4834
Mailing address
3629 CANFIELD HILL CT, CHARLOTTE, NC 28270-1111
(704) 644-8683
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5788
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7301836
—
NC
Enumeration date
03/29/2006
Last updated
07/08/2007
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