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Individual

MISS JILLIAN ROSE NAIL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
533 SOMERS AVE, WHITEFISH, MT 59937-2758
(406) 863-2678
(406) 863-2018
Mailing address
533 SOMERS AVE, WHITEFISH, MT 59937-2758
(406) 863-2017
(406) 863-2018

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
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