Individual
MRS. JILL NILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2885 10 MILE RD NE, ROCKFORD, MI 49341-9177
(248) 207-1615
Mailing address
2885 10 MILE RD NE, ROCKFORD, MI 49341-9177
(610) 444-6350
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201005265
MI
Other
Enumeration date
01/05/2017
Last updated
01/02/2018
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