Individual
JILL WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
375 E 5350 S, WASHINGTON TERRACE, UT 84405-6934
(801) 479-5700
Mailing address
2234 N 1300 W, CLINTON, UT 84015-9049
(801) 927-8113
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
10/10/2019
Last updated
10/10/2019
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