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1922654060
JILLIAN MAXFIELD
SYRACUSE, NY
NPI
1922654060
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
222Q00000X Developmental Therapist
(Licence: NY 023807-01)
Enumeration Date
2019-08-14
Last Update Date
2019-08-14
Business Address
JILLIAN MAXFIELD OTR/L
1045 JAMES ST
SYRACUSE, NY 13203-2730
Phone number: 315-425-1004
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Mailing Address
JILLIAN MAXFIELD OTR/L
1045 JAMES ST
SYRACUSE, NY 13203-2730
Phone number: 315-425-1004
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