Provider Demographics
NPI:1538559323
Name:KERR, JILLIAN (OTR/L)
Entity type:Individual
Prefix:
First Name:JILLIAN
Middle Name:
Last Name:KERR
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 1:910 ALDON RD
Mailing Address - Street 2:
Mailing Address - City:CLAYMONT
Mailing Address - State:DE
Mailing Address - Zip Code:19703-1811
Mailing Address - Country:US
Mailing Address - Phone:302-798-4608
Mailing Address - Fax:
Practice Address - Street 1:910 ALDON RD
Practice Address - Street 2:
Practice Address - City:CLAYMONT
Practice Address - State:DE
Practice Address - Zip Code:19703-1811
Practice Address - Country:US
Practice Address - Phone:302-798-4608
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-01-31
Last Update Date:2015-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC012227225X00000X
DEU1-0001331225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist