Mall, Jill
Mall, Jill is an sole proprietor health care provider with primary practice located at 702 Overlook Way , Winter Springs FL 32708-5910. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Mall, Jill can be contacted via phone (407) 304-6948.Contact Information
Primary practice address
702 Overlook Way
Winter Springs FL 32708-5910
Phone: (407) 304-6948
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 13286 | Florida |
Profile Details
| NPI number | 1013455278 |
|---|---|
| LBN Legal business name | Mall, Jill |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 8th, 2017 |
| Last updated | Feb 8th, 2017 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013455278 | NPPES |
| Florida | Other | M400436709500 | DRIVER'S LICENSE |
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