Provider Demographics
NPI:1225166986
Name:BURNS, JILL URBANO (OTR)
Entity Type:Individual
Prefix:
First Name:JILL
Middle Name:URBANO
Last Name:BURNS
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3101 WILBON RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:HOLLY SPRINGS
Mailing Address - State:NC
Mailing Address - Zip Code:27540-7229
Mailing Address - Country:US
Mailing Address - Phone:919-557-7582
Mailing Address - Fax:
Practice Address - Street 1:638 GEORGE WILSON RD
Practice Address - Street 2:
Practice Address - City:BOONE
Practice Address - State:NC
Practice Address - Zip Code:28607-8613
Practice Address - Country:US
Practice Address - Phone:828-265-0309
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1283225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist