Jill Nicole Ceretto, COTA/L

NPI #1306308275 in Fairview Heights, Illinois

Provider Information

NPI Number: 1306308275
Entity Type: Individual
Name: Jill Nicole Ceretto, COTA/L
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician/Technologist - Optometric Assistant
Credential: COTA/L
Enumeration Date: Apr 1, 2019
Last Updated: Apr 1, 2019

Practice Location

Address: 141 MARKET PL STE 203
City: Fairview Heights
State: Illinois
ZIP Code: 62208-2060
Phone: (618) 398-4118

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician/Technologist - Optometric Assistant — Optometric Assistant	156FX1201X	Primary

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