Individual
JILLIAN FERRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
18 PAR FOUR DR, PURVIS, MS 39475-3038
(601) 467-0702
Mailing address
18 PAR FOUR DR, PURVIS, MS 39475-3038
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
TA3001
MS
Other
Enumeration date
09/09/2014
Last updated
09/09/2014
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