Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224Z00000X | Occupational Therapy Assistant | 1949 | MA |
NPI | 1023304730 |
---|---|
Provider Name | Jill Giurleo |
First Address | Bridgewater, MA 02324-1525 |
Second Address | Wrentham, MA 02093-1349 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/06/2011 |
Last Update Date | 21/06/2011 |