Individual
MS. JILL ROLSTAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
275 TERRACE ST, ASHLAND, OR 97520-2834
(801) 635-5495
Mailing address
275 TERRACE ST, ASHLAND, OR 97520-2834
(801) 635-5495
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
4964210-2401
UT
225100000X
Physical Therapist
Primary
60756
OR
Other
Enumeration date
12/10/2013
Last updated
09/29/2014
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