Individual
MISS JILLIAN ROSE NAIL
Active
Individual
MISS JILLIAN ROSE NAIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
838
MT
225XP0200X
Pediatric Occupational Therapist
Primary
838
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3400098
—
MT
01
—
661600
BCBS PROVIDER ID NUMBER
MT
Enumeration date
04/18/2007
Last updated
10/06/2023
Update your record
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