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Contact Information

JAY M GILL, COTA/L
3212 THACKERY WAY
PLANT CITY, FL33566
 Phone: 561-389-3126
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
Indicates primary specialty

NPI Profile & details for JAY M GILL · (Male)

NPI # 1659806099
Status Active
Credentials COTA/L (Licensed Certified Occupational Therapy Assistant )
Entity Individual
Enumeration date 04/24/2017
Last updated 04/24/2017 - About 9 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # OTA8834
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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