Jillian Lee Iacovissi

NPI #1174201669 in Clinton, New York

Provider Information

NPI Number: 1174201669
Entity Type: Individual
Name: Jillian Lee Iacovissi
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Enumeration Date: Jul 6, 2023
Last Updated: Jul 6, 2023

Practice Location

Address: 19 ROBINSON RD
City: Clinton
State: New York
ZIP Code: 13323-1418
Phone: (315) 853-6090

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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