Jill Dean
Individual provider Active NPI Occupational Therapy Assistant · Salem, MO
NPI 1851891709 · NPPES record last updated Feb 16, 2018
Key facts
- NPI
- 1851891709
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 2012039673 (MO)
- Practice address
- 35629 Highway 72
Salem, MO 65560-7217 - Phone
- (972) 457-1069
- NPI assigned
- Feb 16, 2018
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2012039673 | MO | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 2012039673 | MO | Yes |
Addresses
Primary practice location
35629 Highway 72
Salem, MO 65560-7217
Mailing address
PO Box 207
New Melle, MO 63365-0207
Phone (636) 634-0006
Other providers in Salem, MO
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- Kathleen Marie Davis
- John Demorlis
- Dent County Developmental Disabilities Board
- Dent County Health Center
- Lisa Dewitt
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All providers in Salem, MO · Occupational Therapy Assistant in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 16, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.