Individual
JILLIAN DOUGLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
30 ROTHROCK LOOP, STE B, COPLEY, OH 44321-1331
(330) 666-2228
Mailing address
716 REDSTONE CIR, BRUNSWICK, OH 44212-4354
(440) 554-6180
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT007734
OH
Other
Enumeration date
03/28/2017
Last updated
03/28/2017
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