Provider Demographics
NPI:1104059872
Name:STRAWN, JILL WILKINS (PT)
Entity type:Individual
Prefix:MRS
First Name:JILL
Middle Name:WILKINS
Last Name:STRAWN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2137 WAVERLY WOODS DR
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29505-6868
Mailing Address - Country:US
Mailing Address - Phone:843-319-0564
Mailing Address - Fax:
Practice Address - Street 1:2100 TWIN CHURCH RD
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29501-8222
Practice Address - Country:US
Practice Address - Phone:843-319-0564
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-08-28
Last Update Date:2016-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC2104225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist