Provider Demographics
NPI:1639375272
Name:DASLER, JILL OSLUND (OT R)
Entity Type:Individual
Prefix:MRS
First Name:JILL
Middle Name:OSLUND
Last Name:DASLER
Suffix:
Gender:F
Credentials:OT R
Other - Prefix:MISS
Other - First Name:JILL
Other - Middle Name:NADINE
Other - Last Name:OSLUND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR
Mailing Address - Street 1:C3786 TWINS LN
Mailing Address - Street 2:
Mailing Address - City:STRATFORD
Mailing Address - State:WI
Mailing Address - Zip Code:54484-9400
Mailing Address - Country:US
Mailing Address - Phone:715-687-4086
Mailing Address - Fax:
Practice Address - Street 1:611 SAINT JOSEPH AVE
Practice Address - Street 2:SAINT JOSEPHS HOSPITAL
Practice Address - City:MARSHFIELD
Practice Address - State:WI
Practice Address - Zip Code:54449-1832
Practice Address - Country:US
Practice Address - Phone:715-387-7885
Practice Address - Fax:715-389-4071
Is Sole Proprietor?:No
Enumeration Date:2007-06-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1512-026225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist