Provider Demographics
NPI:1891046140
Name:JONES, JILLIAN BRIETTA (OTR/L)
Entity Type:Individual
Prefix:MS
First Name:JILLIAN
Middle Name:BRIETTA
Last Name:JONES
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2468 BIRCHWOOD CIR
Mailing Address - Street 2:
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96002-3748
Mailing Address - Country:US
Mailing Address - Phone:530-515-6708
Mailing Address - Fax:530-242-1611
Practice Address - Street 1:2516 GOODWATER AVE
Practice Address - Street 2:SUITE B
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96002-1559
Practice Address - Country:US
Practice Address - Phone:530-242-1511
Practice Address - Fax:530-242-1611
Is Sole Proprietor?:No
Enumeration Date:2012-09-26
Last Update Date:2012-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAOT12848174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist