Jaquelyn Bliss, OT

NPI #1104429109 in Urbana, Illinois

Provider Information

NPI Number: 1104429109
Entity Type: Individual
Name: Jaquelyn Bliss, OT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OT
Enumeration Date: Nov 20, 2020
Last Updated: Nov 20, 2020

Practice Location

Address: 611 W PARK ST
City: Urbana
State: Illinois
ZIP Code: 61801-2529
Phone: (217) 383-3311

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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