Individual
MS. JILLIAN A LOURIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., OTR/L
Contact information
Practice address
255 KENT HOLLOW ROAD, BACK MEADOW DR, WEST RUPERT, VT 05776
(518) 588-4283
Mailing address
PO BOX 156, BACK MEADOW DR, WEST RUPERT, VT 05776-0156
(518) 588-4283
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
072.0090773
VT
Other
Enumeration date
07/08/2013
Last updated
07/08/2013
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