Provider Demographics
NPI:1952522096
Name:HELPHINGSTINE, JILL KATHERINE (OTR)
Entity Type:Individual
Prefix:MRS
First Name:JILL
Middle Name:KATHERINE
Last Name:HELPHINGSTINE
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:65 SUNSET RD
Mailing Address - Street 2:
Mailing Address - City:RINGWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07456-2143
Mailing Address - Country:US
Mailing Address - Phone:973-962-0710
Mailing Address - Fax:
Practice Address - Street 1:304 S VAN DIEN AVE
Practice Address - Street 2:
Practice Address - City:RIDGEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07450-5200
Practice Address - Country:US
Practice Address - Phone:201-445-8200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ46TR00376600225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist