| Doctor Name: | JILL ANNE MARLAN |
| NPI Number: | 1346287869 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT, MSPT, OMPT |
| License Number: | JM010459 |
| Business Practice Address: | 914 Charlevoix Dr Ste 150 Grand Ledge, MI - 488372280 |
| Business Phone Number: | 5176279292 |
| Business Fax Number: | 5176279291 |
| Mailing Address: | 332 E Bailey Cir, MASON |
| State: | MI |
| Postal Code: | 488541274 |
| Phone Number: | 5172818586 |
| Fax Number: | |
| NPI Enumeration Date: | 06/01/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | JM010459 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |