Broyles, Jill J

Broyles, Jill J is an individual health care provider with primary practice located at 23 Parkcliff Dr , Holiday Island AR 72631-8045. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, Nursing Service Related Providers / Nursing Home Administrator. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant is her primary health care specialty. Broyles, Jill J can be contacted via phone (479) 363-6422.

Contact Information

Primary practice address
23 Parkcliff Dr Holiday Island AR 72631-8045
Phone: (479) 363-6422
Fax: (479) 363-6763
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X 2021006128 Missouri
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X 1800833 Kansas
Nursing Service Related Providers / Nursing Home Administrator 376G00000X 3786 Kansas
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X OT-A1905 Arkansas

Profile Details

NPI number 1902144058
LBN Legal business name Broyles, Jill J
Credentials Certified Occupational Therapy Assistant (COTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2013
Last updated Mar 24th, 2023 - about 2 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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