Individual
JILL PALOMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
700 HELEN ST, CLYDE, OH 43410-2051
(419) 547-9595
(419) 547-1605
Mailing address
3607 MAPLE AVE, CASTALIA, OH 44824-9711
(419) 684-1102
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA 02726
OH
Other
Enumeration date
07/03/2007
Last updated
07/08/2007
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