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NPI Code Detail

MEDICARE: JILLIAN ANNE GILMARTIN OTR/L

MEDICARE: JILLIAN ANNE GILMARTIN 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 TherapistOC018895PA

General Provider Information

NPI Number : 1750091419
Entity Type Code : Individual
Provider Name (Legal Business Name) : JILLIAN ANNE GILMARTIN OTR/L
Provider Business Mailing Address
First Line : 403 6TH STREET
Second Line : PO BOX 870
City : HUNTINGDON
State : PA
Zip : 16652
Country : US
Telephone Number : 877-312-6576
Fax Number :
Provider Business Practice Location Address
First Line : 600 E CATHEDRAL RD
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19128-1933
Country : US
Telephone Number : 215-487-1300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/02/2022
Last Update Date : 12/02/2022

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