Individual
JILL DENNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA/L
Contact information
Practice address
221 W ADAMS ST, CRESTON, IA 50801-3106
(641) 782-6620
Mailing address
13231 13TH AVE, SAINT CHARLES, IA 50240-9163
(319) 330-6221
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
078806
IA
Other
Enumeration date
07/28/2021
Last updated
07/28/2021
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