Brunson, Jill Nicole

Brunson, Jill Nicole is an individual health care provider with primary practice located at 6501 N Sheridan Rd , Peoria IL 61614-2932. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, which is considered as her primary health care specialty. Brunson, Jill Nicole can be contacted via phone (309) 692-8110.

Contact Information

Primary practice address
6501 N Sheridan Rd Peoria IL 61614-2932
Phone: (309) 692-8110
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X 057.002693 Illinois

Profile Details

NPI number 1982879458
LBN Legal business name Brunson, Jill Nicole
Credentials Certified Occupational Therapy Assistant (COTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2008
Last updated Apr 25th, 2008 - about 16 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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