Individual
JILL R CHURCHILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR-L
Contact information
Practice address
8031 W CENTER RD, SUITE 225, OMAHA, NE 68124-3158
(402) 391-5002
(402) 343-1278
Mailing address
19001 MARGO ST, OMAHA, NE 68136-1291
(402) 657-9390
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
807
NE
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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