Provider Demographics
NPI:1477887008
Name:HILER, JERRILYN DAWN (OTR/L)
Entity Type:Individual
Prefix:
First Name:JERRILYN
Middle Name:DAWN
Last Name:HILER
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:411 E NORTHVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:NEW CASTLE
Mailing Address - State:PA
Mailing Address - Zip Code:16105-2232
Mailing Address - Country:US
Mailing Address - Phone:724-654-5024
Mailing Address - Fax:
Practice Address - Street 1:3410 W PITTSBURG RD
Practice Address - Street 2:
Practice Address - City:NEW CASTLE
Practice Address - State:PA
Practice Address - Zip Code:16101-5970
Practice Address - Country:US
Practice Address - Phone:724-654-8781
Practice Address - Fax:724-658-4911
Is Sole Proprietor?:No
Enumeration Date:2009-09-30
Last Update Date:2009-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC008210225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist