Jill J Broyles, COTA Valid NPI

Individual provider · Occupational Therapy Assistant · Holiday Island, AR

NPI

1902144058

Type

Individual (Type 1)

Primary specialty

Occupational Therapy Assistant

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

224Z00000X

License number

OT-A1905 (AR)

Sex

Female

Sole proprietor

No

Enumerated

2013-01-24

Last updated

2023-03-24