Individual
JILLIAN DAY CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
231 W GIACONDA WAY, TUCSON, AZ 85704-4341
(520) 329-8830
Mailing address
7990 E SNYDER RD APT 23202, TUCSON, AZ 85750-9049
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
388454
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
388454
DDD
—
Enumeration date
01/14/2019
Last updated
01/14/2019
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