Individual
JILL O'DELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2016 OLD ELAM RANCH ROAD, PLACERVILLE, CO 81430
(970) 708-1048
Mailing address
PO BOX 3510, TELLURIDE, CO 81435-3510
(970) 708-1048
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2275
CO
Other
Enumeration date
11/29/2011
Last updated
11/29/2011
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