Individual
JILL MARIE SWINGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2505 S 37TH ST, TEMPLE, TX 76504-7103
(254) 298-7300
Mailing address
4421 BRUTUS LN UNIT A, TEMPLE, TX 76502-5746
(512) 276-0005
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
214338
TX
Other
Enumeration date
08/25/2018
Last updated
08/25/2018
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