Provider Demographics
NPI:1487019410
Name:DILLON, JAMILYN (OT)
Entity Type:Individual
Prefix:
First Name:JAMILYN
Middle Name:
Last Name:DILLON
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:JAMILYN
Other - Middle Name:
Other - Last Name:BROSEMER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2209 GENESEE ST
Mailing Address - Street 2:BUSINESS OFFICE ROOM 315
Mailing Address - City:UTICA
Mailing Address - State:NY
Mailing Address - Zip Code:13501-5930
Mailing Address - Country:US
Mailing Address - Phone:315-801-8173
Mailing Address - Fax:315-801-8490
Practice Address - Street 1:2209 GENESEE ST
Practice Address - Street 2:PHYSICAL THERAPY DEPARTMENT
Practice Address - City:UTICA
Practice Address - State:NY
Practice Address - Zip Code:13501-5930
Practice Address - Country:US
Practice Address - Phone:315-801-8173
Practice Address - Fax:315-801-8490
Is Sole Proprietor?:No
Enumeration Date:2015-12-17
Last Update Date:2019-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY019809225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist