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Contact Information

JILL DESCHAMP, COTA-L
30 7TH ST W
DICKINSON, ND58601-4335
 Phone: 701-456-4000
 Fax: 701-456-4805
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapy Assistant

224Z00000X
Indicates primary specialty

NPI Profile & details for JILL DESCHAMP · (Female)

NPI Number 1396945192
Status Active
Credentials COTA-L
Entity Individual
Enumeration date 07/19/2007
Last updated 07/19/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • ND License # 748
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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