Individual
JILLIAN NICOLE GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
7407 W DOVE LN, FRANKFORT, IL 60423-8791
(815) 325-8281
Mailing address
7407 W DOVE LN, FRANKFORT, IL 60423-8791
(815) 325-8281
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.011525
IL
Other
Enumeration date
08/10/2018
Last updated
08/10/2018
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