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NPI Code Detail

MEDICARE: JILLIAN BETH WOODS MS, OTD, OTR/L

MEDICARE: JILLIAN BETH WOODS MS, OTD, OTR/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 Therapist46TR00480800NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
146TR00480800OTHERNJOCCUPATIONAL THERAPY ADVISORY COUNCIL

General Provider Information

NPI Number : 1558887026
Entity Type Code : Individual
Provider Name (Legal Business Name) : JILLIAN BETH WOODS MS, OTD, OTR/L
Provider Business Mailing Address
First Line : 23 LAVINA TRL
Second Line :
City : OAK RIDGE
State : NJ
Zip : 07438-9326
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 493 BLACK OAK RIDGE RD
Second Line :
City : WAYNE
State : NJ
Zip : 07470-6501
Country : US
Telephone Number : 973-692-9500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/16/2017
Last Update Date : 12/02/2025

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