Provider Demographics
NPI:1437751864
Name:ESTES, JILLIAN (OTD, OTR/L)
Entity type:Individual
Prefix:
First Name:JILLIAN
Middle Name:
Last Name:ESTES
Suffix:
Gender:F
Credentials:OTD, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4728 ALORA ISLES DR APT 7314
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33417-3611
Mailing Address - Country:US
Mailing Address - Phone:712-541-4610
Mailing Address - Fax:
Practice Address - Street 1:1001 10TH WAY
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33407-6677
Practice Address - Country:US
Practice Address - Phone:561-247-4746
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-11
Last Update Date:2024-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT21245225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics