Jill Eissa

NPI 1033474895 - Occupational Therapy Assistant - 224Z00000X

NPI Details
NPI 1033474895
Gender Female
Enumeration Date 07/09/2012
Last Updated 07/09/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
1145 KNOLLWOOD PARKWAY DR
APT L
HAZELWOOD MO, 63042-4004, US
Phone (314) 737-3964
Fax
Business Location
1145 KNOLLWOOD PARKWAY DR
APT L
HAZELWOOD MO, 63042-4004, US
Phone (314) 737-3964
Fax
Toxanomy
Taxonomy Code 224Z00000X
License State Iowa
License Number 000938
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According to our database, Ms. Jill Eissa NPI is 1033474895, taxonomy code is 224Z00000X and license number is 000938, license state is located at Iowa. Jill Eissa physically located at 1145 Knollwood Parkway Dr, Hazelwood MO, 63042-4004. NPI Number Jill Eissa has the Individual type.

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1033474895 NPI number is provided on an as is basis without warranty of any kind. 1033474895 is maintained by the National Plan & Provider Enumeration System. The contents of Jill Eissa are for informational purposes only.