NPI 1386354363

Jillian E Vine, CTRS

Practitioner Recreation Therapist Bath, NY

Practice location

Address: 76 Veterans Ave Bldg 92, Bath, NY 14810-0810
Phone: (607) 664-4694
Mailing address: 160 Upper Delevan Ave, Corning, NY 14830-3267

Registered specialties

Recreation Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225800000X

Other Recreation Therapist providers in New York →

Registry record

NPI: 1386354363
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Nov 2022
Record last updated: 30 Nov 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.