Grenier, Jillian Rose

Grenier, Jillian Rose is an individual health care provider with primary practice located at 2007 Meade Pkwy , Suffolk VA 23434-4259. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Grenier, Jillian Rose can be contacted via phone (757) 539-6300.

Contact Information

Primary practice address
2007 Meade Pkwy Suffolk VA 23434-4259
Phone: (757) 539-6300
Fax: (757) 539-0704
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 0119005456 Virginia

Profile Details

NPI number 1053693176
LBN Legal business name Grenier, Jillian Rose
Credentials ORT/L
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2011
Last updated Sep 14th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053693176 NPPES
Virginia MEDICAID 004979796

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