Jillian Marie Ford, OTR/L

Individual provider Active NPI Occupational Therapist · Lanesville, IN

NPI 1982118600 · NPPES record last updated Apr 8, 2020

Key facts

NPI
1982118600
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
132222 (KY)
Practice address
8011 Legacy Spring Blvd
Lanesville, IN 47136-0017
Phone
(502) 751-2400
NPI assigned
Nov 17, 2017
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
132222KYMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 132222 KY Yes

Addresses

Primary practice location

8011 Legacy Spring Blvd
Lanesville, IN 47136-0017

Mailing address

8011 Legacy Springs Blvd.
Lanesville, IN 47136
Phone (502) 751-2400

Other practice location 1

1201 Lynn Myra Ct
Louisville, KY 40214-3319
Phone (502) 751-2400

Other names

  • Jillian Marie Willett Former name

Other providers in Lanesville, IN

All providers in Lanesville, IN · Occupational Therapist in Indiana

Sources for this page

Verify at the official NPI Registry.