NPI 1124377056
Jillian M. Krueger, COTAL
Practice location
- Address
- 100 Joseph Walker Dr., West Columbia, SC 29169
- Phone
- (803) 356-1303
- Mailing address
- PO Box 38, Miamiville, OH 45147-0038
Registered specialties (2)
Occupational Therapy Assistant
Primary
Occupational Therapy Assistant
Registry record
- NPI
- 1124377056
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 6 Sep 2012
- Record last updated
- 6 Sep 2012
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.