Individual
JILLIAN D MINOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
101 BLUE RIDGE DR, EFFORT, PA 18330-8864
(171) 852-7245
Mailing address
101 BLUE RIDGE DR, EFFORT, PA 18330-8864
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP006435
PA
Other
Enumeration date
01/03/2008
Last updated
01/03/2008
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