Provider Demographics
NPI:1467346585
Name:ANTERLINE, JAIME (MA, LCAT, R-DMT)
Entity type:Individual
Prefix:MRS
First Name:JAIME
Middle Name:
Last Name:ANTERLINE
Suffix:
Gender:F
Credentials:MA, LCAT, R-DMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2075 SCOTTSVILLE RD
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14623-2021
Mailing Address - Country:US
Mailing Address - Phone:585-333-9732
Mailing Address - Fax:
Practice Address - Street 1:2075 SCOTTSVILLE RD
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14623-2021
Practice Address - Country:US
Practice Address - Phone:585-333-9732
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-04
Last Update Date:2025-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002971225600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225600000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDance Therapist