Individual
MS. JAIME L PATILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
222 STATION MILL BLVD, BLUFFTON, SC 29909-7813
(912) 656-0629
Mailing address
222 STATION MILL BLVD, BLUFFTON, SC 29909-7813
(912) 656-0629
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
3367
SC
225XP0200X
Pediatric Occupational Therapist
OT003519
GA
Other
Enumeration date
02/12/2009
Last updated
02/12/2009
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