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NPI Code Detail

MEDICARE: MRS. JILL ELIZABETH SAWYER MSOTR/L

MEDICARE: MRS. JILL ELIZABETH SAWYER MSOTR/L
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 TherapistOT1889ME
2225X00000XOccupational Therapist2238NH

General Provider Information

NPI Number : 1104040070
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JILL ELIZABETH SAWYER MSOTR/L
Provider Business Mailing Address
First Line : 21 SEARLES RD
Second Line :
City : WINDHAM
State : NH
Zip : 03087-1203
Country : US
Telephone Number : 603-475-2247
Fax Number :
Provider Business Practice Location Address
First Line : 21 SEARLES RD
Second Line :
City : WINDHAM
State : NH
Zip : 03087-1203
Country : US
Telephone Number : 603-475-2247
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/12/2007
Last Update Date : 06/14/2012

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