Individual
MISS JILLIAN FAULKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
90 TAUNTON ST, WRENTHAM, MA 02093-1349
(508) 384-7977
Mailing address
28 WHITLA DR, WORCESTER, MA 01604-1348
(508) 816-9058
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3322
MA
Other
Enumeration date
10/10/2013
Last updated
10/10/2013
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