Individual
JILLIAN FAITH NUTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1482 EAGLE PASS DR, MARION, OH 43302-8138
(740) 692-2072
Mailing address
600 N RIVER RD, TIFFIN, OH 44883-1173
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA008658
OH
Other
Enumeration date
07/06/2024
Last updated
07/30/2024
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