Provider Demographics
NPI:1932466380
Name:ABRAMS, JILLIAN (OT)
Entity Type:Individual
Prefix:
First Name:JILLIAN
Middle Name:
Last Name:ABRAMS
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2720 CLUB CORTILE CIR APT B
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34746-5779
Mailing Address - Country:US
Mailing Address - Phone:407-319-6735
Mailing Address - Fax:
Practice Address - Street 1:2720 CLUB CORTILE CIR APT B
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34746-5779
Practice Address - Country:US
Practice Address - Phone:407-319-6735
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-23
Last Update Date:2012-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT10538225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist