Healthcare Provider Details

I. General information

NPI: 1215876289
Provider Name (Legal Business Name): JILLIAN WOODWORTH DROT, OTRL, FNAP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/26/2026
Last Update Date: 03/26/2026
Certification Date: 03/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

303 E KEARSLEY ST
FLINT MI
48502-1907
US

IV. Provider business mailing address

66 WINDER ST APT 444
DETROIT MI
48201-3131
US

V. Phone/Fax

Practice location:
  • Phone: 734-578-6925
  • Fax:
Mailing address:
  • Phone: 734-578-6925
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number5201008203
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: