Individual
JILLIAN OVERALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8540 SCARBOROUGH DR, SUITE 200, COLORADO SPRINGS, CO 80920-7502
(719) 630-7500
Mailing address
5750 PALE ROCK TER, APT F, COLORADO SPRINGS, CO 80919-2362
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA.0000557
CO
Other
Enumeration date
10/15/2014
Last updated
10/15/2014
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