Boulo, Jill Griffin

Boulo, Jill Griffin is an individual health care provider with primary practice located at 166 Mobile Infirmary Blvd , Mobile AL 36607. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Boulo, Jill Griffin can be contacted via phone (251) 435-2016.

Contact Information

Primary practice address
166 Mobile Infirmary Blvd Mobile AL 36607
Phone: (251) 435-2016
Fax: (251) 435-3069
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 1835 Alabama

Profile Details

NPI number 1235197146
LBN Legal business name Boulo, Jill Griffin
Credentials Occupational Therapist (OT)
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2006
Last updated Apr 14th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235197146 NPPES
Alabama MEDICAID 890012810
Alabama Other 051525906

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