Provider Demographics
NPI:1104040070
Name:SAWYER, JILL ELIZABETH (MSOTR/L)
Entity Type:Individual
Prefix:MRS
First Name:JILL
Middle Name:ELIZABETH
Last Name:SAWYER
Suffix:
Gender:F
Credentials:MSOTR/L
Other - Prefix:MISS
Other - First Name:JILL
Other - Middle Name:ELIZABETH
Other - Last Name:CARRIER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSOTR/L
Mailing Address - Street 1:21 SEARLES RD
Mailing Address - Street 2:
Mailing Address - City:WINDHAM
Mailing Address - State:NH
Mailing Address - Zip Code:03087-1203
Mailing Address - Country:US
Mailing Address - Phone:603-475-2247
Mailing Address - Fax:
Practice Address - Street 1:21 SEARLES RD
Practice Address - Street 2:
Practice Address - City:WINDHAM
Practice Address - State:NH
Practice Address - Zip Code:03087-1203
Practice Address - Country:US
Practice Address - Phone:603-475-2247
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-12
Last Update Date:2012-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEOT1889225X00000X
NH2238225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist