Stacy Jillson

NPI #1215455118 in Kent, Washington

Provider Information

NPI Number: 1215455118
Entity Type: Individual
Name: Stacy Jillson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Enumeration Date: Aug 31, 2017
Last Updated: Aug 31, 2017

Practice Location

Address: 12033 SE 256TH ST
City: Kent
State: Washington
ZIP Code: 98030-6503
Phone: (253) 373-7000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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