Provider Demographics
NPI:1073853693
Name:KIROL, JILL ELLEN (MS PT)
Entity type:Individual
Prefix:MR
First Name:JILL
Middle Name:ELLEN
Last Name:KIROL
Suffix:
Gender:F
Credentials:MS PT
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Mailing Address - Street 1:44 WHIRLAWAY ST
Mailing Address - Street 2:
Mailing Address - City:CLAYTON
Mailing Address - State:NC
Mailing Address - Zip Code:27520-5743
Mailing Address - Country:US
Mailing Address - Phone:917-353-7404
Mailing Address - Fax:
Practice Address - Street 1:1014 ADAMS POINT DR
Practice Address - Street 2:
Practice Address - City:GARNER
Practice Address - State:NC
Practice Address - Zip Code:27529-6575
Practice Address - Country:US
Practice Address - Phone:919-359-1323
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-19
Last Update Date:2024-09-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NCP22404225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist