Provider Demographics
NPI:1477191930
Name:SINGSON, JILLIAN CATHRYN FIRME (PT, DPT)
Entity Type:Individual
Prefix:
First Name:JILLIAN CATHRYN
Middle Name:FIRME
Last Name:SINGSON
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:JILLIAN CATHRYN
Other - Middle Name:
Other - Last Name:SINGSON SANTILLAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:8246 HILLROSE ST
Mailing Address - Street 2:
Mailing Address - City:SUNLAND
Mailing Address - State:CA
Mailing Address - Zip Code:91040-2404
Mailing Address - Country:US
Mailing Address - Phone:847-738-3402
Mailing Address - Fax:
Practice Address - Street 1:2001 W ALAMEDA AVE
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91506-2932
Practice Address - Country:US
Practice Address - Phone:818-953-4444
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-12-16
Last Update Date:2019-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT297568225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist