Provider Demographics
NPI:1497864508
Name:HAMLIN, JILL CORRINNE (OTD,)
Entity Type:Individual
Prefix:
First Name:JILL
Middle Name:CORRINNE
Last Name:HAMLIN
Suffix:
Gender:F
Credentials:OTD,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:344 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:24541-2849
Mailing Address - Country:US
Mailing Address - Phone:434-791-7240
Mailing Address - Fax:
Practice Address - Street 1:344 W MAIN ST
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:VA
Practice Address - Zip Code:24541-2849
Practice Address - Country:US
Practice Address - Phone:434-791-7240
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2013-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0119003296225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist