Individual
JEAN MARIE GILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSOTRL
Contact information
Practice address
58850 8685 RD, WATERBURY, NE 68785-3023
(712) 251-7862
Mailing address
58850 8685 RD, WATERBURY, NE 68785-3023
(402) 638-2301
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
01332
IA
225X00000X
Occupational Therapist
0646
SD
225X00000X
Occupational Therapist
1084
NE
Other
Enumeration date
11/15/2006
Last updated
06/25/2012
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