Provider Demographics
NPI:1053200998
Name:MCGARRY, JILLIAN MOWRY (MS, OTR/L)
Entity type:Individual
Prefix:
First Name:JILLIAN
Middle Name:MOWRY
Last Name:MCGARRY
Suffix:
Gender:F
Credentials:MS, OTR/L
Other - Prefix:
Other - First Name:JILLIAN
Other - Middle Name:MOWRY
Other - Last Name:COYNE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, OTR/L
Mailing Address - Street 1:3636 CAMINO DEL RIO N STE 101
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92108-1722
Mailing Address - Country:US
Mailing Address - Phone:619-928-1293
Mailing Address - Fax:
Practice Address - Street 1:3636 CAMINO DEL RIO N STE 101
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92108-1722
Practice Address - Country:US
Practice Address - Phone:619-928-1293
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-02
Last Update Date:2025-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA15055225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics