MEDICARE: MS. JAIME L HILL OTR/L, MS

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
1	225X00000X	Occupational Therapist	2002002459	MO
2	225XP0200X	Pediatric Occupational Therapist	2002002459	MO

General Provider Information

NPI Number	:	1114248549
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JAIME L HILL OTR/L, MS

Provider Business Mailing Address
First Line	:	2057 BLENDON PL
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63143-2541
Country	:	US
Telephone Number	:	314-680-9443
Fax Number	:

Provider Business Practice Location Address
First Line	:	2057 BLENDON PL
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63143-2541
Country	:	US
Telephone Number	:	314-680-9443
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/21/2010
Last Update Date	:	06/21/2010

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