Jill Ellyn Sparrow, DT

NPI #1568784338 in Normal, Illinois

Provider Information

NPI Number: 1568784338
Entity Type: Individual
Name: Jill Ellyn Sparrow, DT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Developmental Therapist
Credential: DT
Enumeration Date: Feb 22, 2010
Last Updated: Jun 4, 2013

Practice Location

Address: 104 HARTER LN
City: Normal
State: Illinois
ZIP Code: 61761-1841
Phone: (309) 262-6676

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Developmental Therapist	222Q00000X	Primary

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