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Individual

MRS. JILLIAN MARIE FORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
8011 LEGACY SPRING BLVD, LANESVILLE, IN 47136-0017
(502) 751-2400
Mailing address
8011 LEGACY SPRINGS BLVD., LANESVILLE, IN 47136
(502) 751-2400

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
132222
KY

Other

Enumeration date
11/17/2017
Last updated
04/08/2020
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