Individual
MRS. JILLIAN BIGELOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
159 W 1ST ST, OSWEGO, NY 13126-2045
(315) 342-9575
Mailing address
5151 MUNRO RD, CAMILLUS, NY 13031-8700
(518) 730-6186
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
020119
NY
252Y00000X
Early Intervention Provider Agency
Primary
P98497
NY
Other
Enumeration date
07/28/2015
Last updated
10/12/2017
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