Jill Nicole Brunson, COTA

NPI #1982879458 in Peoria, Illinois

Provider Information

NPI Number: 1982879458
Entity Type: Individual
Name: Jill Nicole Brunson, COTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapy Assistant
Credential: COTA
Enumeration Date: Apr 25, 2008
Last Updated: Apr 25, 2008

Practice Location

Address: 6501 N SHERIDAN RD
City: Peoria
State: Illinois
ZIP Code: 61614-2932
Phone: (309) 692-8110

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapy Assistant	224Z00000X	Primary

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