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Contact Information

JILLIAN M KRUEGER, COTA/L
100 JOSEPH WALKER DR.
WEST COLUMBIA, SC29169
 Phone: 803-356-1303
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapy Assistant

224Z00000X
Indicates primary specialty

NPI Profile & details for JILLIAN M KRUEGER · (Female)

NPI Number 1124377056
Status Active
Credentials COTA/L (Licensed Certified Occupational Therapy Assistant )
Entity Individual
Enumeration date 09/06/2012
Last updated 09/06/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • OH License # 03957
  • SC License # 3107
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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