Individual
MS. JILL MARMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
6305 CORTEZ RD W, BRADENTON, FL 34210-2604
(941) 761-3499
Mailing address
6305 CORTEZ RD W, BRADENTON, FL 34210-2604
(941) 761-3499
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA10528
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OTA10528
FLORIDA
FL
Enumeration date
01/10/2012
Last updated
01/10/2012
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