Individual
JILL CHRISTINE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1200 UNIVERSITY ST, CARLINVILLE, IL 62626-9600
(217) 854-4433
Mailing address
21304 WASHER RD, MOUNT OLIVE, IL 62069-2330
(217) 556-0113
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.003276
IL
Other
Enumeration date
07/22/2014
Last updated
07/24/2014
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