Provider Demographics
NPI:1053058784
Name:HILL, KERRY AMANDA (MSOTR/L)
Entity Type:Individual
Prefix:
First Name:KERRY
Middle Name:AMANDA
Last Name:HILL
Suffix:
Gender:F
Credentials:MSOTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:515 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WATSONTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17777-1509
Mailing Address - Country:US
Mailing Address - Phone:570-412-5200
Mailing Address - Fax:
Practice Address - Street 1:7190 S STATE ROUTE 44
Practice Address - Street 2:
Practice Address - City:WILLIAMSPORT
Practice Address - State:PA
Practice Address - Zip Code:17702-8230
Practice Address - Country:US
Practice Address - Phone:570-745-2400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-15
Last Update Date:2022-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist