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NPI Code Detail

MEDICARE: MS. JILL M ATWELL OT

MEDICARE: MS. JILL M ATWELL OT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational TherapistFL OT 2334FL
2225X00000XOccupational TherapistNY OT 1893NY

General Provider Information

NPI Number : 1104002138
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JILL M ATWELL OT
Provider Business Mailing Address
First Line : PO BOX 6251
Second Line :
City : SPRING HILL
State : FL
Zip : 34611-6251
Country : US
Telephone Number : 352-666-6842
Fax Number :
Provider Business Practice Location Address
First Line : 7227 LAND O LAKES BLVD
Second Line :
City : LAND O LAKES
State : FL
Zip : 34638-2826
Country : US
Telephone Number : 352-428-1196
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/22/2008
Last Update Date : 01/22/2008

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